139 results
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Classification of Esophageal ... Motility Disorders Achalasia ... Obstruction Distal Esophageal ... Classification #Esophageal
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Polymyositis Esophageal ... Intermittent Symptoms • Esophageal ... Scleroderma • Achalasia ... Schatzki Ring • Esophageal ... Stricture • Esophageal
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
attempting to swallow Esophageal ... Intermittent: Diffuse Esophageal ... Systemic Sclerosis, Achalasia ... Non-Progressive: Esophageal
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... 4 T's), Goiter Esophageal ... of EG junction: Achalasia ... Fragmented Peristalsis, Esophageal ... Oropharyngeal #Esophageal
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Oropharyngeal Dysphagia Esophageal ... scleroderma, MCTD, achalasia ... Oropharyngeal #Esophageal
Ivor Lewis Esophagectomy on Chest X-Ray aka Gastric Pull-up
Ivor Lewis procedure is a type of esophagectomy
mid or distal esophageal ... remind you of Achalasia ... distinguish it from achalasia
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Management of Achalasia ... - ACG Guidelines ... High resolution esophageal ... subtypes • Achalasia ... Diagnosis #Management #ACG
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... , Type II achalasia ... , Type Ill achalasia ... obstruction, Distal esophageal ... peristalsis, GERD #Esophageal
Achalasia Management Algorithm
 - Botulinum Injection
 - Pharmacotherapy (CCB/nitrates)
 - Pneumatic Dilation
 - Peroral Endoscopic Myotomy
Achalasia Management ... Esophagectomy #Achalasia
Typical medications used in the acute phase include nifedipine, labetalol, and hydralazine, with ACOG suggesting that
hydralazine, with ACOG