14 results
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
, Distal Esophagus ... , Type II achalasia ... achalasia, IEM, ... Fragmented peristalsis, GERD ... comparison #table #gastroenterology
Achalasia Management Algorithm
 - Botulinum Injection
 - Pharmacotherapy (CCB/nitrates)
 - Pneumatic Dilation
 - Peroral Endoscopic Myotomy
Achalasia Management ... Dilation - Peroral Endoscopic ... #Management #Algorithm ... #gastroenterology ... #treatment
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 ... Endoscopic Eradication ... #Treatment #Algorithm ... #Gastroenterology
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
Diagnosis and Management ... Reflux Disease (GERD ... Surgical and Endoscopic ... #Treatment #Algorithm ... #Gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Incomplete/relief/treatment ... history of Barrett esophagus ... Stricture • Barrett esophagus ... Disease #diagnosis #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 EGD ... GERD 2. ... , or endoscopic ... #diagnosis #management ... #treatment #gastroenterology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... diagnosed with GERD ... • Endoscopy to look ... puckering of the EGJ ... ACG #Guidelines #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Non-relaxation of EG ... junction: Achalasia ... Hypercontractile Esophagus ... from esophagitis (GERD ... Diagnosis #causes #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Necrosis Etiology: - Ischemia ... Obstruction with GERD ... Diagnosis: - EGD ... Necrosis #diagnosis #management ... #gastroenterology
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Achalasia Classification ... type Response to treatment ... suggestive of end ... LES since the esophagus ... Types #radiology #gastroenterology