Dysphagia
This is an image taken of an elderly lady with complains of difficulty in swallowing(dysphagia). She has been having these symptoms for a few months now but noted by the family members that it has got worse over the last month associated with vomiting and loss of weight. This was the only finding on doing an upper scope(OGDS), a procedure where a camera is inserted into the feeding tube through mouth to visualize the oesophagus, stomach and duodenum internally.
Care to guess?
January 25th, 2007 at 4:37 am
Aiyoo can’t make out the view… is that a retroflexed view of the fundus and gastro-oesophageal junction?
January 25th, 2007 at 3:41 pm
Ok this image was taken at 25cm from the incisor. What you see is a guide wire not the endoscope, thus an end-on view.
January 26th, 2007 at 10:33 am
err…achelli hor..realli kenot make out head or tail la…
January 26th, 2007 at 5:54 pm
ok ok I thought it was a good shot! it is in the mid-oesophagus. Now will that help!
January 27th, 2007 at 4:33 am
OIC … can’t make out the tumour but i guess it must be there somewhere.
January 27th, 2007 at 6:58 am
why tumour? think out of the box
January 27th, 2007 at 3:21 pm
Esophageal stricture?
January 27th, 2007 at 6:24 pm
Smart answer - because of the guide wire is it. Well partially correct I should say. Keep guessing!
January 27th, 2007 at 6:28 pm
nevermind if wrong, I will blame the poor resolution
January 28th, 2007 at 6:13 am
Perhaps achalasia?
January 30th, 2007 at 1:48 pm
This is a case of oesophageal diverticulum with oesophageal stricture.
January 31st, 2007 at 6:28 am
What was the cause of the stricture?
January 31st, 2007 at 4:48 pm
Awaiting results