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Diagnosis and Management of Barrett's Esophagus

Diagnosis
Screening
Surveillance Algorithm
Medical Treatment
Endoscopic Eradication Therapy (EET)

By Dr. Hima Veeramachaneni @hima_vee @EmoryGastroHep

#Barretts
Diagnosis and Management ... of Barrett's Esophagus ... Endoscopic Eradication ... #Treatment #Algorithm ... #Gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Incomplete/relief/treatment ... history of Barrett esophagus ... Stricture • Barrett esophagus ... Disease #diagnosis #management ... #Gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... Diagnosis: - EGD ... Treatment: - Treatment ... Necrosis #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 ... Used to provide dearer ... : • ESOPHAGO-GASTRO-DUODENOSCOPE
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Extrinsic to esophagus ... structural disorder → EGD ... Treatment • ... 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 ... , or endoscopic ... Achalasia #diagnosis #management ... #treatment #gastroenterology ... #esophageal #esophagus
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... of Acute Esophageal ... variceal bleed ... Bleeding #varices #management ... ebm #evidence #gastroenterology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... • Endoscopy to look ... puckering of the EGJ ... High resolution esophageal ... ACG #Guidelines #gastroenterology