12 results
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 ... Surgical and Endoscopic ... Gastroesophageal #Reflux ... Treatment #Algorithm #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 ... Testing Endoscopy ... Manometry Barium Esophagram ... FLIP) Ambulatory Reflex ... Esophagus #diagnosis #gastroenterology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Hgb 7-9 g/dL PPI ... unclear source (in case ... adam_c_winters #Esophageal ... #varices #hepatology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux ... Testing Ambulatory reflux ... Impedance testing Esophageal ... Gastroesophageal #Reflux ... diagnosis #management #Gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... injury (by acid reflux ... reflux resulting ... 48 hours - IV PPI ... diagnosis #management #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Treatment of Acute Esophageal ... mortality benefit • PPI ... role in acute esophageal ... from the ulcer caused ... ebm #evidence #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... Endoscopy Tools ... energy or heat to cause ... pictures as it passes ... Aguila @enrrikke #Gastroenterology
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
calling a consult HPI ... paracentesis - Prior endoscopy ... Calling #Referral #Hepatology ... #Gastroenterology
Basics of Esophageal Strictures
 - History & Physical
 - When is a barium swallow helpful?
 -
Basics of Esophageal ... strictures, do you need PPI ... - Dilation of Esophageal ... Strictures #Basics #endoscopy ... management #diagnosis #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
sphincter to relax ... evaluated with CT, endoscopy ... , or endoscopic ... myotomy, or peroral endoscopic ... management #treatment #gastroenterology