Snapshot A 56-year-old man presents to the emergency department for difficulty with eating. Initially he had difficulty keeping down solid foods and now liquids. He has noticed a 25-pound unintentional weight loss. Medical history is notable for Barrett esophagus. An upper endoscopy demonstrates a distal esophageal mass, where a tissue biopsy is performed, and is notable for adenocarcinoma. Introduction Overview login to view 2 more bullets Epidemiology Demophraphics login to view 2 more bullets Risk factors login to view 6 more bullets ETIOLOGY Associated conditions login to view 3 more bullets Presentation Symptoms login to view 1 more bullet Physical exam login to view 1 more bullet Imaging Upper gastrointenstional endoscopy with biopsy login to view 2 more bullets Differential Acid reflux login to view 2 more bullets Treatment Treatment is dependent on the tumor's pathology, location, and evidence of metastasis Complications Esophageal obstruction Dysphagia and subsequent malnourishment Tracheoesophageal fistula Prognosis Negative factors login to view 1 more bullet