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Diagnosis and Management of Barrett's Esophagus

Diagnosis
Screening
Surveillance Algorithm
Medical Treatment
Endoscopic Eradication Therapy (EET)

By Dr. Hima Veeramachaneni @hima_vee @EmoryGastroHep

#Barretts
Diagnosis and Management ... of Barrett's Esophagus ... #Esophagus #Diagnosis ... #Management #Treatment ... #Algorithm #Gastroenterology
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Columnar Metaplasia/Barrett's ... Esophagus 1) Ensure ... Hiatus Hernia Is ... #Esophagus #diagnosis ... 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 Necrosis ... chest pain, Sepsis Diagnosis ... #black #esophagus ... #diagnosis #management ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Paraesophageal hernia ... is restored to esophagus ... distal third of esophagus ... #diagnosis #management ... #gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
- Differential Diagnosis ... Femoral/Inguinal hernia ... hernia • Rib ... Still's disease • Necrotic ... #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... esophagus or esophageal ... • Stricture • Barrett ... esophagus • Esophageal ... #management #Gastroenterology
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
and Management ... • Epigastric abdominal ... complications), MRCP (necrosis ... calcitonin • Infected Necrosis ... #Gastroenterology