Q1..Burning sensation in the epigastric area is due to acid reflux from the stomach towards the esophagus due to relaxation of the inferior esophageal sphincter which permits the reflux. This frequently occurs in people who smoke a lot and drink coffee. As nicotine and caffeine relax the lower esophageal sphincter causing the reflux. Q2 ..Yes, we can feel the esophageal narrowings during swallowing . We feel that it's difficult to swallow the food at these points.The clinical importance of these constrictions is that the doctor must perform gentle manipulation to the endoscope at these points to avoid damage to the surrounding structures.
1-GERD: reflux of gastric acid into oesophagus due to weakness of lower oesophageal sphincter. 2-to be gently avoiding trauma to these constrictions during using NG tube .
1_Caffeine relaxes the esophageal muscle and thus causes esophageal reflux, which causes stomach acid to back up into the esophagus and causes a burning sensation.
السلام عليكم ورحمة الله وبركاته موفق يا دكتور وجزاكم الله خيرا ونحبك الحمدلله وكما بُدأت المحاضرة بآيه قرآنيه نختمها بحديث طيب قال صلي الله عليه وسلم: (أنا زعيم بيت في وسط الجنه لمن ترك الكذب وإن كان مازحا ). نسأل الله أن تكون ونكون منهم.
1- this burn after eating due to over eating may be / which cause gastric acid reflux (high acidic content of stomac) / due to defect in lower physiological oesophgual sphincter which prevent gastric reflux . 2- yes you can feel areas of narrowing during swallowing , you get some resistance in this area during swallowing it is very important clinically to be know level of this narrowing points during process of passing of endoscope so doctor will be careful at this points this areas are from the upper central incisor A- 6 inches _____ the first point B-10 inches _____the second one C- 16 inches______the third and last one thanks 🌸
question 1 '''Gastric reflux '' AKA GERD also called pyrosis the pain is caused by regurgitation of the corrosive gastric juices on the esophageal wall, moreover the pain is localized and radiant around the substernal region and it characterized by burning sensation due to the reflux of the gastric content into the lower part of the esophagus as result of the either normal physiological reflex owing to reaction of the myenteric plexus to certain substances like tea. chocolate and caffeine all of this substances affect the state of contraction of LOS causing it to relax from it normal protective tonic contraction, or in other pathological instances like diaphragmatic hernia which results as a congenital anomaly during birth can be treated through surgical intervention and hiatal hernia occurring at middle age whereby caused by progressive straining and weakness of the diaphragmatic muscle fibers over prolonged period of time. question 2 1-esophageal constriction can be felt normally but it felt more during pathological settings as in hirschsprung's disease or UOS stricture , clinically the esophageal constriction act as a protective mechanism for impaction of foreign bodies by which this substances can be disposed out of the body through initiation of the vomiting reflex in which it provoke and initiate waves of reverse peristalsis hence then disposing the irritating substance with vomitus. 2- it considered as site for measurement when inserting an esophageal tube for manipulation and to have an accurate access to the site of the inspection or injury usually the installed tube are lubricated to prevent irritation of esophageal mucosa. love from sudan 😍 to doctor ayman khanfour
Epigastric burning in addition to the role of caffeine in relaxing the lower esophageal sphincter it might occur as a result of hyposecretion of Gastrin hormone that plays a crucial role in the contraction of lower esophageal sphincter ,therefore the acidic gastric secretions will be refluxed in to the esophagus causing burn
19:17 ف السؤال ده يا دكتور هي oesophageal hiatus of diaphragm present at level of 10 th cervical vertebrae طيب ال point structure اعلي بشويه من ال diaphragm وحضرتك كنت قايل ك اختيارات 8th vertebrae طيب لي متكونش الاجابه 8th vertebrae مجرد استفسار بس
ممكن معني الكلمه دي لوسمحت professor The lower end of esophagus is a site of portosystemic anastomosis so it's vulnerable to varices as in case of liver cirrhosis
السلام عليكم يا دكتور...ربنا يجزيك خير ازاي الesophagus بتعمل triple relation مع الaorta مع انها بتفتح في الاخر في الright crus والaorta بتفتح بين الright and left crura حتى الصورة التانية اللي حضرتك جبتها بعد ما شرحت الtriple relation مش مبينة الtriple relation جزاك الله خيرا
جزاك الله خیرا دكتور but i have a question please , i searched a lot about it but i did not find the true answer what is the type of upper esophageal sphincter ? is it anatomical or physiological or both ? i know that the lower esophageal sphincter is physiological . شكرا جزیلا دكتور ننتظر الاجابة لو سمحت
The answers of the interactive questions: 1- My diagnosis for epigastric burning sensation after eating isIndigestion (dyspepsia) that happen when you eat foods that don't seem to agree with you. The most common symptom of heartburn is a burning feeling in your chest after you eat. This burning sensation is usually worse when you lie or bend down 2- Yes, we normally feel the sites of oesophageal narrowing during swallowing. It's clinical importance is it helps to prevent reflux of gastric contents and acid into the oesophagus protecting the oesophageal mucosa.
00:00 - Intro
01:07 - Definition
02:42 - Sites of Constriction
06:55 - Parts
07:50 - Cervical Part
10:32 - Thoracic Part
13:53 - in posterior mediastinum
15:42 - Abdominal Part
17:07 - Blood Supply
18:02 - Venous Drainage
18:13 - Lymphatic Drainage
18:45 - Practical Questions
20:34 - Interactive Questions
الله ينور يا حيدر
حيدر باسم وين ما اروح الكاك ❤️
Q1..Burning sensation in the epigastric area is due to acid reflux from the stomach towards the esophagus due to relaxation of the inferior esophageal sphincter which permits the reflux. This frequently occurs in people who smoke a lot and drink coffee. As nicotine and caffeine relax the lower esophageal sphincter causing the reflux. Q2 ..Yes, we can feel the esophageal narrowings during swallowing . We feel that it's difficult to swallow the food at these points.The clinical importance of these constrictions is that the doctor must perform gentle manipulation to the endoscope at these points to avoid damage to the surrounding structures.
ماشاء الله عليكي❤
also during pregnancy
الحمدلله خلص الthorax الشكر لله و لدكتوري ايمن خنفور و يا رب تسهيلك و توكلت عليك بهذا الكورس ، فما توفيقي الا بالله عليه توكلت و اليه انيب 🤍🤍
الحمدلله خلص الثوراكس بارك الله فيك دكتور و جزاك الله خيرا لتيسير الشرح يارب اخلصه في الامتحان على خير
الحمد لله رب العالمين
ربنا يكرمك يا دكتور اي العظمه دي❤
فيديوهاتك لطيفة ومفيدة جداً
جزاك الله خيراً🤍
مبدع كالعاده
تحياتي ❤️
و تحياتى انا كمان
بارك الله فيك دكتور وربي يبارك في علمك
ادعولي امتحاني الاحد ان شاء الله
يا مسهل الحال
وفقكم الله دكتور من اليمن ❤🎉
اليمن السعيد مرحبا
1-GERD: reflux of gastric acid into oesophagus due to weakness of lower oesophageal sphincter.
2-to be gently avoiding trauma to these constrictions during using NG tube .
سبحان الله وبحمده سبحان الله العظيم
صلى الله على محمد صلى الله عليه وسلم
جزاك الله خيرا يا دكتور
ربنا يبارك فيكى الف شكر
1_Caffeine relaxes the esophageal muscle and thus causes esophageal reflux, which causes stomach acid to back up into the esophagus and causes a burning sensation.
Q1/ Achalasia
Q2/ yes , for avoid damage in mucosal layer through enter endoscopy
Perfect 👌 👌
جزاك الله كل خير يا دكتور على مجهودك 🌸
اللهم صل على محمد وال محمد وعجل فرجهم واهلك عدوهم
الله يسهل امرك بحق محمد وال محمد ❤
اللهم امين
السلام عليكم ورحمة الله وبركاته
موفق يا دكتور وجزاكم الله خيرا ونحبك الحمدلله وكما بُدأت المحاضرة بآيه قرآنيه نختمها بحديث طيب قال صلي الله عليه وسلم: (أنا زعيم بيت في وسط الجنه لمن ترك الكذب وإن كان مازحا ). نسأل الله أن تكون ونكون منهم.
اهلا و سهلا بيك
مش فاهم
فيه ايه فى كذب او مزاح
عظيم يا دكتور ♥️
دكتور كلمه relay شنو معناها ،،،،، بالقاموس بيعطينا شي مختلف . مع العلم لم تذكر بالمحاضره لكن في المحاضرات السابقه😊
محطة تقويه
جزاك الله خير
اللهم آمين الف شكر
جزيت الجنه❤
1- this burn after eating due to over eating may be / which cause gastric acid reflux (high acidic content of stomac) / due to defect in lower physiological oesophgual sphincter which prevent gastric reflux .
2- yes you can feel areas of narrowing during swallowing , you get some resistance in this area during swallowing
it is very important clinically to be know level of this narrowing points during process of passing of endoscope so doctor will be careful at this points
this areas are from the upper central incisor
A- 6 inches _____ the first point
B-10 inches _____the second one
C- 16 inches______the third and last one
thanks 🌸
@@Dr.Ayman_khanfour شكرا يا دكتور 😊🌸
question 1
'''Gastric reflux '' AKA GERD also called pyrosis the pain is caused by regurgitation of the corrosive gastric juices on the esophageal wall, moreover the pain is localized and radiant around the substernal region and it characterized by burning sensation due to the reflux of the gastric content into the lower part of the esophagus as result of the either normal physiological reflex owing to reaction of the myenteric plexus to certain substances like tea. chocolate and caffeine all of this substances affect the state of contraction of LOS causing it to relax from it normal protective tonic contraction, or in other pathological instances like diaphragmatic hernia which results as a congenital anomaly during birth can be treated through surgical intervention and hiatal hernia occurring at middle age whereby caused by progressive straining and weakness of the diaphragmatic muscle fibers over prolonged period of time.
question 2
1-esophageal constriction can be felt normally but it felt more during pathological settings as in hirschsprung's disease or UOS stricture ,
clinically the esophageal constriction act as a protective mechanism for impaction of foreign bodies by which this substances can be disposed out of the body through initiation of the vomiting reflex in which it provoke and initiate waves of reverse peristalsis hence then disposing the irritating substance with vomitus.
2- it considered as site for measurement when inserting an esophageal tube for manipulation and to have an accurate access to the site of the inspection or injury usually the installed tube are lubricated to prevent irritation of esophageal mucosa.
love from sudan 😍 to doctor ayman khanfour
Epigastric burning in addition to the role of caffeine in relaxing the lower esophageal sphincter it might occur as a result of hyposecretion of Gastrin hormone that plays a crucial role in the contraction of lower esophageal sphincter ,therefore the acidic gastric secretions will be refluxed in to the esophagus causing burn
تحفة يا دكتورررر♥️♥️♥️♥️♥️♥️
19:17 ف السؤال ده يا دكتور هي oesophageal hiatus of diaphragm present at level of 10 th cervical vertebrae
طيب ال point structure اعلي بشويه من ال diaphragm وحضرتك كنت قايل ك اختيارات 8th vertebrae
طيب لي متكونش الاجابه 8th vertebrae
مجرد استفسار بس
Notice the curvature of the diaphragm
ممكن معني الكلمه دي لوسمحت professor
The lower end of esophagus is a site of portosystemic anastomosis so it's vulnerable to varices as in case of liver cirrhosis
السلام عليكم ورحمة الله وبركاته
ممكن المحاضرة دى pdf
السلام عليكم يا دكتور...ربنا يجزيك خير
ازاي الesophagus بتعمل triple relation مع الaorta مع انها بتفتح في الاخر في الright crus والaorta بتفتح بين الright and left crura
حتى الصورة التانية اللي حضرتك جبتها بعد ما شرحت الtriple relation مش مبينة الtriple relation
جزاك الله خيرا
@@Dr.Ayman_khanfour تمام هتواصل ان شاء الله
@@Dr.Ayman_khanfour اتواصلت مع حضرتك على الmessenger ومستني رد حضرتك لما تفضى ان شاء الله 💖
More than great
❤️❤️❤️❤️
Which difference between posterior mediastinum and posterior relation of esophagus ?
Does the arch of the azygos vein cross the esophagus? How?
I revised the diagrams and still don't see the crossing. Do you mean that it crosses in the lateral view?
جزاك الله خیرا دكتور
but i have a question please , i searched a lot about it but i did not find the true answer
what is the type of upper esophageal sphincter ? is it anatomical or physiological or both ?
i know that the lower esophageal sphincter is physiological .
شكرا جزیلا دكتور ننتظر الاجابة لو سمحت
@@Dr.Ayman_khanfour I think she meant is it voluntary or involuntary as it’s striated
I also search for the answer
دكتور النيرف سبلاي وين شرحة
السلام عليكم ممكن pdf لل Git system
The answers of the interactive questions:
1- My diagnosis for epigastric burning sensation after eating isIndigestion (dyspepsia) that happen when you eat foods that don't seem to agree with you. The most common symptom of heartburn is a burning feeling in your chest after you eat. This burning sensation is usually worse when you lie or bend down
2- Yes, we normally feel the sites of oesophageal narrowing during swallowing. It's clinical importance is it helps to prevent reflux of gastric contents and acid into the oesophagus protecting the oesophageal mucosa.
Perfect 👌
١_ stomach acidity
Free Palestine 🎉
اللهم آمين