ESOPHAGUS, STOMACH, AND DUODENUM
Case #1 - A 40 year old man with reflux symptoms |
DISCUSSION QUESTIONS: |
| 5.) What is an appropriate diagnostic workup in this patient? What do you hope to learn with each study?
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Appropriate diagnostic evaluation:
- Barium swallow / upper GI series:
Esophageal motility, stricture, status of gastric emptying
- Esophagogastroduodenoscopy:
Presence and length of esophagitis; detection of carcinoma or Barrett's esophagus; detection of peptic ulcer disease
- Esophageal manometry:
Evaluate lower esophageal sphincter (normal pressure >6mm Hg)
- 24 hour pH monitoring:
Not needed if typical symptoms and erosive esophagitis at endoscopy
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Questions
