12 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 ... Spasm Jackhammer Esophagus ... Motility #Disorders #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Oropharyngeal Dysphagia Esophageal ... Sjogren, web • Mid esophagus ... scleroderma, MCTD, achalasia ... Oropharyngeal #Esophageal ... #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... of EG junction: Achalasia ... Hypercontractile Esophagus ... , eosinophils, infections ... Diagnosis #causes #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Pseudomembranous esophagitis, Infection ... Surgery consults +/- antibiotics ... Necrosis #black #esophagus ... diagnosis #management #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... Physiology: EGJ, Distal Esophagus ... obstruction, Distal esophageal ... peristalsis, GERD #Esophageal ... comparison #table #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
broad spectrum antibiotic ... use, infections ... is restored to esophagus ... distal third of esophagus ... diagnosis #management #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Neurodegenerative disorders • Infection ... two-thirds of the esophagus ... • Jackhammer esophagus ... management #treatment #gastroenterology ... #esophageal #esophagus
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Achalasia Classification ... Barium Contrast Esophagram ... LES since the esophagus ... Types #radiology #gastroenterology ... barium #contrast #Esophagram
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
web or a distal esophageal ... Extrinsic to esophagus ... disorder such as achalasia ... Esophageal Dysphagia ... Diagnosis #Management #gastroenterology
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
 • Gastroesophageal reflux disease
 • Eosinophilic gastrointestinal
Secondary Causes of Esophageal ... gastrointestinal disease • Achalasia ... Hypereosinophilic syndrome • Esophageal ... Crohn's disease • Infections ... Secondary #Causes #gastroenterology