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Diagnosis and Management of Achalasia - ACG Guidelines Who to suspect? • Patients presenting with progressive dysphagia
Diagnosis and Management ... of Achalasia - ... resolution esophageal manometry ... subtypes • Achalasia ... #Diagnosis #Management
Achalasia Summary Epidemiology: 10 cases per 100,000 individuals Defined by inadequate relaxation of the LES and aperistalsis Primary or
Achalasia Summary ... relaxation on manometry ... High-resolution esophageal manometry ... junction • Useful if manometry ... #diagnosis #management
Dysphagia - Differential Diagnosis Framework Symptom | Diagnosis • Solid-food dysphagia present for months to years | Mechanical
disorder such as achalasia ... motility disorder → manometry ... Differential #Diagnosis #Management
Pleural Manometry Summary Measurement of Intrapleural Pressures and Pleural Elastance during therapeutic thoracentesis can be used to
Pleural Manometry ... 1) Connect a manometer ... transducer, or digital manometer ... nickmmark #Pleural #Manometry ... #diagnosis #management
Achalasia Management Algorithm - Botulinum Injection - Pharmacotherapy (CCB/nitrates) - Pneumatic Dilation - Peroral Endoscopic Myotomy
Achalasia Management ... Esophagectomy #Achalasia ... #Management #Algorithm
Ivor Lewis Esophagectomy on Chest X-Ray aka Gastric Pull-up Ivor Lewis procedure is a type of esophagectomy
remind you of Achalasia ... distinguish it from achalasia
Chicago Classification of Esophageal Motility Disorders Achalasia EGJ Outflow Obstruction Distal Esophageal Spasm Jackhammer Esophagus Absent Contractility Ineffective Motility Rapid Contraction #Chicago #Classification #Esophageal
Motility Disorders Achalasia
Dysphagia - Differential Diagnosis Algorithm Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow Esophageal
Systemic Sclerosis, Achalasia
Dysphagia Differential Diagnosis Algorithm Oropharyngeal Dysphagia Structural • Tumors • Zenker's Diverticulum • Foreign Bodv Neuromuscular Toxic/Metabolic • Myasthenia
Scleroderma • Achalasia
Indications for ERCP 1. Biliary Tract Diseases: • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Sphincter of Oddi manometry ... #Indications #management
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