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Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... Esophagus) on Endoscopy ... #Esophageal #Necrosis ... #Endoscopy #EGD ... #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Sepsis Diagnosis EGD ... #Esophageal #Necrosis ... #black #esophagus ... #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... mucosa Stricture Management ... Used to provide dearer ... • ESOPHAGO-GASTRO-DUODENOSCOPE ... #accessories #EGD
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... is restored to esophagus ... Diagnosis: - EGD ... distal third of esophagus ... #management #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Extrinsic to esophagus ... weight loss or acute ... structural disorder → EGD ... Differential #Diagnosis #Management ... #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
sphincter to relax EGD ... secondary causes leading ... Achalasia #diagnosis #management ... #treatment #gastroenterology ... #esophageal #esophagus
Los Angeles Classification of Reflux Esophagitis
Accurate endoscopic assessment of reflux esophagitis is vital in making accurate
Esophagitis Accurate endoscopic ... decisions on patients' management ... involves >75% of the esophageal ... #gastroenterology ... #EGD