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Management of Benign Anorectal Disorders

Dyssnergic Defecation (DD)
Proctalgia Syndromes
Anal Fissures
Hemorrhoids
Fecal Incontinence

By Cynthia Tran, MD @EmoryGastroHep

#Anorectal #Disorders #Management
Management of Benign ... Anorectal Disorders ... DD) Proctalgia Syndromes ... #Benign #Gastroenterology ... #diagnosis #Treatment
Prevention and Treatment of Nutritional Complications after Bariatric Surgery
Types of Bariatric Surgery:
 • Adjustable Gastric Banding
Prevention and Treatment ... Switch (BPD-DS) Management ... : • Dumping Syndrome ... #Differential #Treatment ... #Deficiencies #Gastroenterology
Dyssnergic Defecation (DD) - Diagnosis and Management

Impaired rectal evacuation with abnormal anorectal testing & recurring constipation

Diagnostic
Diagnosis and Management ... • Anal EMG Treatment ... Biofeedback • Surgery ... #Colorectal #Gastroenterology ... #Treatment
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... • Prior GEJ surgery ... Fundoplication, Bariatric surgery ... Irritable Bowel Syndrome ... #gastroenterology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Complications after ... Consider refeeding syndrome ... nutrients • TPN for treatment ... deficiencies) Dumping Syndrome ... excluded limb • Treatment
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Before antireflux surgery ... GERD - Complications ... - Antireflux surgery ... Disease #diagnosis #management ... #Gastroenterology
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
• Other: ERCP/surgery ... , gallstones), CT ... to assess for complications ... biliary, stones), CTA ... #Treatment #Gastroenterology
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Diagnosis and Management ... of hospitalized pts ... A/P: Assess complications ... KUB ↓↓Sens for complications ... #IDSA #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Stevens-Johnson syndrome ... third of esophagus Treatment ... : - Treatment of ... Necrosis #diagnosis #management ... #gastroenterology