11 results
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 ... Gastroesophageal Reflux ... Surgical and Endoscopic ... Gastroesophageal #Reflux ... #Algorithm #Gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
, Distal Esophagus ... achalasia, IEM, ... Fragmented peristalsis, GERD ... comparison #table #gastroenterology ... #diagnosis
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
: Diagnosis • Heartburn ... history of Barrett esophagus ... Stricture • Barrett esophagus ... #Disease #diagnosis ... #management #Gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal Necrosis ... EGD and Biopsy ... #black #esophagus ... #diagnosis #management ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Obstruction with GERD ... injury (by acid reflux ... : - EGD showing ... #diagnosis #management ... #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
: Testing The diagnosis ... esophageal sphincter to relax ... GERD 2. ... #diagnosis #management ... #treatment #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
- Differential Diagnosis ... junction: Achalasia ... Hypercontractile Esophagus ... from esophagitis (GERD ... #causes #gastroenterology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... with GERD who are ... • Endoscopy to look ... #Diagnosis #Management ... ACG #Guidelines #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... mucosa Stricture Management ... : • ACHALASIA BALLOON ... patients with achalasia ... : • ESOPHAGO-GASTRO-DUODENOSCOPE
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
- Differential Diagnosis ... Extrinsic to esophagus ... disorder such as achalasia ... structural disorder → EGD ... #Management #gastroenterology