294 results
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Management of Jackhammer ... Esophagus or Esophageal ... Consider further diagnostics ... Jackhammer #Esophagus #Esophageal ... #gastroenterology
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Dysphagia Differential Diagnosis ... Intermittent Symptoms ... • Esophageal ... Intermittent Symptoms ... #Differential #Diagnosis
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... chest pain, Sepsis Diagnosis ... KBrag_MD #Acute #Esophageal ... black #esophagus #diagnosis ... #management #gastroenterology
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Esophageal Crohn's ... Disease Management ... Assess for Active Symptoms ... Non-Traversable -> Esophagram ... Crohns #Disease #Management
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
- Differential Diagnosis ... attempting to swallow Esophageal ... Non-Progressive: Esophageal ... #Differential #Diagnosis ... solids #liquids #gastroenterology
Dyspepsia Management Algorithm (NICE Guidelines)
 • Alarm Symptoms
 • Endoscopy
 • Imaging
 • Management

Dr. Keith Siau
Dyspepsia Management ... Guidelines) • Alarm Symptoms ... • Imaging • Management ... drkeithsiau #Dyspepsia #Management ... Algorithm #NICE #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... Impedance testing Esophageal ... Barrett esophagus or esophageal ... Reflux #Disease #diagnosis ... #management #Gastroenterology
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
15 eos/hpf • Symptoms ... : Persistent symptoms ... decrease in a symptom ... EoE #Response #diagnosis ... #gastroenterology
Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Diagnosis and Management ... Presentation Medical Management ... Extraesophageal Symptoms ... #Management #Treatment ... #Algorithm #Gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... melena - Other GI symptoms ... retrosternal chest pain Diagnosis ... #Necrosis #diagnosis ... #management #gastroenterology