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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
Gastroesophageal Reflux ... Symptoms Long-Term PPI ... Algorithm Refractory ... Gastroesophageal #Reflux ... #Gastroenterology
PPI Potency for GERD - Mnemonic and Conversion
Pantoprazole is Lower than Omeprazole for Esophageal Reflux
Pantoprazole is
PPI Potency for ... Omeprazole for Esophageal ... Reflux Pantoprazole ... - Omeprazole Esophageal ... Rabeprazole #PPI
Esophageal Physiologic Testing

Endoscopy
High Resolution Manometry
Barium Esophagram
Functional Lumen Imaging Probe (FLIP)
Ambulatory Reflex Monitoring

Dr. Chaitanya Allamneni @CAllamneni via
Esophageal Physiologic ... FLIP) Ambulatory Reflex ... Testing #Esophagus #diagnosis ... #gastroenterology ... #Algorithm
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux ... Summary GERD: Diagnosis ... Testing Ambulatory reflux ... #Disease #diagnosis ... #management #Gastroenterology
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Dysphagia Differential Diagnosis ... Algorithm Oropharyngeal ... Progressive Symptoms • Reflux ... #Differential #Diagnosis ... #Algorithm #Causes
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
- Differential Diagnosis ... Algorithm Oropharyngeal ... #Differential #Diagnosis ... #Algorithm #solids ... #liquids #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... chest pain, Sepsis Diagnosis ... no NGT, mlVF, PPI ... black #esophagus #diagnosis ... #management #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
injury (by acid reflux ... reflux resulting ... 48 hours - IV PPI ... #Necrosis #diagnosis ... #management #gastroenterology
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
- Differential Diagnosis ... Algorithm Cardiovascular ... Reflux Disease ... #Differential #Diagnosis ... #Algorithm #causes
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
- Differential Diagnosis ... Algorithm Oropharyngeal ... Dysphagia Esophageal ... #Differential #Diagnosis ... #Esophageal #gastroenterology