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Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Necrosis (Black ... Esophagus) on Endoscopy ... #Black #Esophagus ... #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 ... Necrosis History ... Sepsis Diagnosis EGD ... #black #esophagus ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Diagnosis: - EGD ... circumferential black ... Treatment: - Treatment ... #diagnosis #management ... #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... mucosa Stricture Management ... for palliative treatment ... : • ESOPHAGO-GASTRO-DUODENOSCOPE ... #accessories #EGD
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Acute Pancreatitis ... complications), MRCP (necrosis ... calcitonin • Infected Necrosis ... #Pancreatitis #Acute ... #Treatment #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 ... , or endoscopic ... Achalasia #diagnosis #management ... #treatment #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 ... Treatment • ... #gastroenterology