26 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... EGD and Biopsy Differential ... no NGT, mlVF, PPI ... Necrosis #black #esophagus ... diagnosis #management #gastroenterology
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
of Jackhammer Esophagus ... or Esophageal Spasm ... #Jackhammer #Esophagus ... #Esophageal #Spasm ... #Management #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 ... Spasm Jackhammer Esophagus ... Classification #Esophageal ... Motility #Disorders #gastroenterology
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... Necrosis (Black Esophagus ... DrJBerrueta #Acute #Esophageal ... Necrosis #Black #Esophagus ... Endoscopy #EGD #gastroenterology
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Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Dysphagia - Differential ... Oropharyngeal Dysphagia Esophageal ... Sjogren, web • Mid esophagus ... Oropharyngeal #Esophageal ... #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... of Dysphagia - Differential ... Hypercontractile Esophagus ... #Dysphagia #Differential ... Diagnosis #causes #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Impedance testing Esophageal ... history of Barrett esophagus ... or esophageal adenocarcinoma ... Stricture • Barrett esophagus ... diagnosis #management #Gastroenterology
Esophageal Physiologic Testing

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

Dr. Chaitanya Allamneni @CAllamneni via
Esophageal Physiologic ... Manometry Barium Esophagram ... EmoryGastroHep #Esophageal ... Physiologic #Testing #Esophagus ... #diagnosis #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... is restored to esophagus ... distal third of esophagus ... 48 hours - IV PPI ... diagnosis #management #gastroenterology
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... endoscopically suspected esophageal ... BE - distal esophagus ... #Barretts #Esophagus ... EGD #diagnosis #gastroenterology