158 results
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
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux Disease ... Impedance testing Esophageal ... Barrett esophagus or esophageal ... Gastroesophageal #Reflux #Disease ... diagnosis #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 ... Classification #Esophageal ... Motility #Disorders #gastroenterology
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Esophageal Crohn's ... Disease Management ... Stricturing/Fistulizing Disease ... Non-Traversable -> Esophagram ... #Crohns #Disease
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 Disease ... Symptoms Long-Term PPI ... Gastroesophageal #Reflux #Disease ... Treatment #Algorithm #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
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
The Gastroenterology ... a GI Consult HPI ... Treatment started (PPI ... Calling #Referral #Gastroenterology
PPI Potency for GERD - Mnemonic and Conversion
Pantoprazole is Lower than Omeprazole for Esophageal Reflux
Pantoprazole is
PPI Potency for ... Omeprazole for Esophageal ... - Omeprazole Esophageal ... Rabeprazole #PPI
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... state) predisposes esophageal ... 48 hours - IV PPI ... prevent further esophageal ... diagnosis #management #gastroenterology