Barrett's esophagus differential diagnosis: Difference between revisions
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Amresh Kumar (talk | contribs) No edit summary |
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* [[Concentric]] rings of the [[esophagus]]- Trachealization of the [[esophagus]] | * [[Concentric]] rings of the [[esophagus]]- Trachealization of the [[esophagus]] | ||
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* Increased serum IgE levels | * Increased [[IgE|serum IgE]] levels | ||
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* [[Esophageal]] [[biopsy]] | * [[Esophageal]] [[biopsy]] | ||
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[[Image:Oesophageal-squamous-cell-carcinoma-2.jpg|center|200px|thumb|Case courtesy of Dr Bruno Di Muzio, Radiopaedia.org, rID: 4232f]] | [[Image:Oesophageal-squamous-cell-carcinoma-2.jpg|center|200px|thumb|Case courtesy of Dr Bruno Di Muzio, Radiopaedia.org, rID: 4232f]] | ||
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* [[Esophageal]] obstruction | * [[Esophageal]] [[obstruction]] | ||
* Staging of disease | * [[Cancer staging|Staging]] of [[disease]] | ||
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* [[CT]] and [[PET scan]] is an optional test for staging of the disease | * [[CT]] and [[PET scan]] is an optional test for [[Cancer staging|staging]] of the [[disease]] | ||
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* [[Biopsy]] | * [[Biopsy]] | ||
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|Normal | |Normal | ||
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* Stasis in [[pharynx]] and pooling in pharyngeal recesses | * [[Stasis]] in [[pharynx]] and pooling in [[pharyngeal]] recesses | ||
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* [[Velopharyngeal insufficiency]] | * [[Velopharyngeal insufficiency]] | ||
* Delayed [[swallowing]] function | * Delayed [[swallowing]] function | ||
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* CT may show anterior [[mediastinal]] mass ([[thymoma]]) | * [[CT-scans|CT]] may show anterior [[mediastinal]] mass ([[thymoma]]) | ||
* Positive tensilon test | * Positive tensilon test | ||
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* | * Anti–[[acetylcholine receptor]] [[antibody test]] | ||
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| align="center" style="padding: 5px 5px; background: " |[[GERD]] | | align="center" style="padding: 5px 5px; background: " |[[GERD]] | ||
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|Normal | |Normal | ||
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* Free acid reflux | * Free [[acid reflux]] | ||
* [[Esophagitis]] with scarring | * [[Esophagitis]] with [[scarring]] | ||
* [[Strictures]] | * [[Strictures]] | ||
* [[Barrett's oesophagus]] | * [[Barrett's oesophagus]] | ||
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* [[Barrett's esophagus]] | * [[Barrett's esophagus]] | ||
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* Esophageal [[manometry]] may show decreased tone of [[Lower esophageal sphincter|LES]] | * [[Esophageal]] [[manometry]] may show decreased tone of [[Lower esophageal sphincter|LES]] | ||
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* 24 hour [[esophageal]] | * 24 hour [[esophageal]] [[pH]] monitoring | ||
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Revision as of 16:24, 7 February 2018
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Barrett's Esophagus Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Barrett's esophagus differential diagnosis On the Web |
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American Roentgen Ray Society Images of Barrett's esophagus differential diagnosis |
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Risk calculators and risk factors for Barrett's esophagus differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amresh Kumar MD [2]
Overview
Barrett's esophagus must be differentiated from esophagitis, peptic ulcer disease, GERD, esophageal carcinoma and esophageal motor disorders.
Differentiating Barrett's Esophagus from other Diseases
Barrett's esophagus should be differentiated from the following diseases;
- Pill esophagitis
- Eosinophilic esophagitis
- Infectious esophagitis[1]
- GERD[2][3]
- Esophageal carcinoma [4]
- Peptic ulcer disease
- Esophageal motor disorders
| Disease | Signs and Symptoms | Barium esophagogram | Endoscopy | Other imaging and laboratory findings | Gold Standard | |||||||
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| Onset | Dysphagia | Weight loss | Heartburn | Other findings | Mental status | |||||||
| Solids | Liquids | Type | ||||||||||
| Barrett's esophagus | Gradual | + | - | Progressive | +/- | + | GERD Symptoms | Normal |
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| Eosinophilic esophagitis | Gradual | + | Progressive | +/- | +/- |
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Normal |
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| Esophageal carcinoma |
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+ | + | Progressive | + | +/- | Normal |
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| Motor disorders |
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+ | + | Progressive | +/- | Normal |
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| GERD |
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+ | - | Progressive | +/- | + | Normal |
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References
- ↑ Moayyedi P, Talley NJ (2006). "Gastro-oesophageal reflux disease". Lancet. 367 (9528): 2086–100. doi:10.1016/S0140-6736(06)68932-0. PMID 16798392. Unknown parameter
|month=ignored (help) - ↑ http://www.wrongdiagnosis.com/b/barretts_esophagus/misdiag.htm
- ↑ Badillo R, Francis D (2014). "Diagnosis and treatment of gastroesophageal reflux disease". World J Gastrointest Pharmacol Ther. 5 (3): 105–12. doi:10.4292/wjgpt.v5.i3.105. PMC 4133436. PMID 25133039.
- ↑ Saenko VF, Tutchenko NI, Kurilets IP, Deĭneka SV, Malinin VV (1985). "[Diagnosis and surgical treatment of nonepithelial stomach tumors]". Klin Khir (5): 11–5. PMID 4021327.