Oesophagus disorders

Normal anatomy of oesophagus

Starts at the level of:

Anterior relaMons: )

Trachea

Cricoid canilage
Heart

It is about 4 - 5 cm. long

It ends at the gastroesophageal junction

Normal histology of esophagus

Esoş:d+ageat•stomach junction

Esophageel innervation
 Upper esophagus

Ach

Stnated muscle fiber

Lower esophagus
Vagus nerve

Dorsal motor nucleus

Nucleus ambiguus
Ached NO VIP

Smooth muscle fiber

ENDOSCOPY

Barium swallow

Endosonography

The enoosonogi aphic leyeis ol the esophagu s can be del‹neoled as five

alternal›ng fiyperecnoic end hY rioi¢ oands ifiei ceoespond Io the
his1ox›gic iayers The
eMtcano 24hr PH monitoring

Esophageal PH impedance

* Phar n eal ’ ’

Esophageal PH impedance
Barium swallow ENDOSCOPY
A
Endosonography Esophageal Manometry
24hr PH monitoring Esophageal PH impedance

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Oislal