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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 ... #Esophagus #Endoscopy ... #EGD #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... Etiology: - Ischemia ... Diagnosis: - EGD ... Treatment: - Treatment ... #management #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Extrinsic to esophagus ... Barium swallow is ... structural disorder → EGD ... Treatment • ... 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 ... adenocarcinoma Barium ... , or endoscopic ... #gastroenterology ... #esophageal #esophagus
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Contrast Esophagram ... type Response to treatment ... suggestive of end ... LES since the esophagus ... Types #radiology #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... for palliative treatment ... : • ESOPHAGO-GASTRO-DUODENOSCOPE ... Aguila @enrrikke #Gastroenterology ... #accessories #EGD
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Endoscopy to look ... puckering of the EGJ ... • Barium esophagogram ... High resolution esophageal ... ACG #Guidelines #gastroenterology