60 yr. old FEMALE WITHA HISTORY OF DYSPHAGIA AND ABNORMAL BARIUM SWALLOW. tHE ge JUNCTION DID HAVE A VERY SUBTLE BENIGN-APPEARING TAPERING TO IT.dIALATED BY ADVANCING A SAVARY GUIDEWIRE INTO THE ANTRUM THROUGH THR SCOPE WITH SCOPE BEING REMOVED AND DIALATION PERFORMED WITH PASSAGE OF A 51 fRENCH sAVARY DILATOR, THEN REMOVED WITH GUDEWIRE ALSO. iMPRESSION: gROSLY NORMAL UPPER ENDOSCOPY WITH SUBTLE SLIGHT TAPERING IN THE ge JUNCTION. THIS IS NOT ACHALASIA, MAY REPESENT SOME MILD BENIGN STRCTURING.
hi, Osteopenia refers to bone mineral density (BMD) that is lower than normal peak BMD but not low enough to be classified as osteoporosis. Spondylolisthesis refers to the forward slippage of one vertebral body with respect to the one beneath it. This most commonly occurs at the lumbosacral junction with L5 slipping over S1. Disc degeneration is a natural part of aging and over time all people will exhibit changes in their discs consistent with a greater or lesser degree of degeneration. Not all people with disc degeneration will develop pain. Scoliosis is a little deviation in the spine.
Curves less than 20 degrees are not usually treated, except by regular follow-up for children who are still growing. Watchful waiting is usually all that is required in adolescents with curves of 20-30 degrees, or adults with curves up to 40 degrees or slightly more, as long as there is no pain. Bracing may be required in others. the treatment of other conditions is supportive. Regards