11 results
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Paraesophageal hernia ... injury (by acid reflux ... reflux resulting ... Treatment: - Treatment ... #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 ... Step 1: Assess ... Consider further diagnostics ... #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 ... FLIP) Ambulatory Reflex ... Physiologic #Testing #Esophagus ... #diagnosis #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... history of Barrett esophagus ... Stricture • Barrett esophagus ... #Disease #diagnosis ... #management #Gastroenterology
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Endoscopically Suspected Esophageal ... 1) Ensure Hiatus ... Hernia Is Recognised ... #diagnosis #endoscopy ... #EGD #gastroenterology
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Documentation 1. ... endoscopically suspected esophageal ... (histological diagnosis ... epithelium or M >=1 ... #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
- Differential Diagnosis ... Framework Symptom | Diagnosis ... Extrinsic to esophagus ... disorder → EGD Treatment ... #Management #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
sphincter to relax ... unclear DDX: 1. ... of dysphagia (<1 ... #gastroenterology ... #esophageal #esophagus
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
: 1) Spindle type ... type Response to treatment ... : 2>1>3 Sigmoid ... LES since the esophagus ... Types #radiology #gastroenterology
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Epidemiology: • #1 ... often ordered in reflex ... 10 mg/kg IV x 1 ... #management #treatment ... infectiousdiseases #IDSA #gastroenterology