116 results
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... Acute bleeding in ... Band Ligation + Epi ... active #Gastric #Bleeding ... 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 ... no NGT, mlVF, PPI ... KBrag_MD #Acute #Esophageal ... diagnosis #management #gastroenterology
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... Risks #Grading #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
hemorrhage (particular esophageal ... of gastric and esophageal ... bleeding as well ... aspiration of gastric & esophageal ... #instructions #gastroenterology
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Classification of Esophageal ... Obstruction Distal Esophageal ... Classification #Esophageal ... Motility #Disorders #gastroenterology
The Minnesota Tube
-Flexible plastic tube with 4 important components
-Gastric Aspiration Port
-Gastric Balloon (400cc)
-Esophageal Balloon (inflated typically
Balloon (400cc) -Esophageal ... -Used to stop bleeding ... -Esophageal balloon ... does not stop bleeding ... (note esophageal
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
Patients With Bleeding ... Predicting Risk of Rebleeding ... (%) - PPI - Diet ... I Active bleeding ... II Stigmata of bleeding
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
indications → PPI ... Impedance testing Esophageal ... Barrett esophagus or esophageal ... Barrett esophagus • Esophageal ... diagnosis #management #Gastroenterology
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
attempting to swallow Esophageal ... Intermittent: Diffuse Esophageal ... Non-Progressive: Esophageal ... solids #liquids #gastroenterology
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Jackhammer Esophagus or Esophageal ... Jackhammer #Esophagus #Esophageal ... Spasm #Management #gastroenterology