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Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... Necrosis (Black ... Esophagus) on Endoscopy ... #Black #Esophagus ... #Endoscopy #EGD
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... - Diagnostic endoscopy ... Polypectomy - Variceal ... , EFTR) Gregory ... HighRisk #Diagnosis #Management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Summary PRE-ENDOSCOPY ... of PUD) PERI-ENDOSCOPY ... Endoscopic variceal ... #treatment #endoscopy
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... products E - Endoscopy ... settings - Pre-endoscopic ... Care - Endoscopy ... Bleeding #Summary #Endoscopy
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Sepsis Diagnosis EGD ... #Esophageal #Necrosis ... #black #esophagus ... #diagnosis #management
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Esophageal Variceal ... PMID: 11870374) - Endoscopic ... esophageal variceal ... Endoscopic Variceal ... #management #ebm
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Scoping Summary Pre-Endoscopic ... • Know your endoscopic ... /primary team Endoscopic ... #diagnosis #management
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology Endoscopy ... LIGATOR - For endoscopic ... For percutaneous endoscopic ... other methods of endoscopic ... procedures GI Endoscopes
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... EGD and the Banding ... gastroenterology #fellows #endoscopy ... #egd #banding
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

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