Esophageal adenocarcinoma is the fastest growing cancer in the United States. In total, it affects about 1.5 million people per year worldwide and 38,000 in the US alone. There has been a 6-fold increase in the last 3 decades, accounting for 60% of esophageal cancers. This is one puppy you don’t want to mess with; don’t even get me started on colorectal cancer!
Gastroenterology accounts for 10% of the PANCE, so make sure you pay attention during this part of your didactic phase! Knowing that, you had better take a step into gastroenterology with your thinking cap on ready to learn about new disease and therapy that can affect the way you provide care everyday.
Most Commons in Gastroenterology
Heartburn (pyrosis) - most common symptom of esophageal disease
GERD (Gastroesophageal reflux disease) - most common disorder of the esophagus
Ulcerative Colitis - most commonly affects young adults in 2nd and 3rd decade of life, but 2nd peak in 7th decade
Most common in N. America, England, N. Europe, and Australia
More common in industrialized countries
More common in higher socioeconomic status
Important: Ulcerative colitis increases the risk of colorectal cancer
Crohn’s Disease - most common between 15-30 years of age, though can present at any age
More common in industrialized countries
More common in higher economic status
Most common in N. America, England, N. Europe, and Australia
Skip areas common: The most common distribution pattern of Crohn’s disease is ileocecal, which involves the distal portion of the small intestine (terminal ileum) and the proximal large bowel (40% of patients)
Most common skin lesions in IBD: pyoderma gangrenosum and erythema nodosum