13 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
Motility Disorders Achalasia ... EGJ Outflow Obstruction ... Spasm Jackhammer Esophagus ... Motility #Disorders #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
, Distal Esophagus ... , Type II achalasia ... , Type Ill achalasia ... achalasia, IEM, ... comparison #table #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... Klebsiella, pneumoniae) Management ... Necrosis #black #esophagus ... #diagnosis #management ... #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Consult GI ± EGD ... Differential #Diagnosis #management ... #Algorithm #gastrointestinal ... #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Non-relaxation of EG ... junction: Achalasia ... , EG junction outflow ... Hypercontractile Esophagus ... Diagnosis #causes #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
GERD: Testing EGD ... history of Barrett esophagus ... Stricture • Barrett esophagus ... Disease #diagnosis #management ... #Gastroenterology
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Achalasia Classification ... suggestive of end ... stage achalasia ... LES since the esophagus ... Types #radiology #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
two-thirds of the esophagus ... sphincter to relax EGD ... #diagnosis #management ... #treatment #gastroenterology ... #esophageal #esophagus
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Extrinsic to esophagus ... disorder such as achalasia ... structural disorder → EGD ... Differential #Diagnosis #Management ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... Diagnosis: - EGD ... distal third of esophagus ... Necrosis #diagnosis #management ... #gastroenterology