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Diagnosis and Management of Achalasia - ACG Guidelines Who to suspect? • Patients presenting with progressive dysphagia
Management of Achalasia ... resolution esophageal manometry ... contractions Definitive Treatment ... POEM Symptomatic Treatment ... gastroenterology #Treatemtn
Achalasia Summary Epidemiology: 10 cases per 100,000 individuals Defined by inadequate relaxation of the LES and aperistalsis Primary or
relaxation on manometry ... junction • Useful if manometry ... Treatment: Laparoscopic ... Treatment options ... diagnosis #management #treatment
Dysphagia - Differential Diagnosis Framework Symptom | Diagnosis • Solid-food dysphagia present for months to years | Mechanical
disorder such as achalasia ... motility disorder → manometry ... disorder → EGD Treatment
Achalasia Management Algorithm - Botulinum Injection - Pharmacotherapy (CCB/nitrates) - Pneumatic Dilation - Peroral Endoscopic Myotomy
Achalasia Management ... Esophagectomy #Achalasia ... gastroenterology #treatment
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
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
Indications for ERCP 1. Biliary Tract Diseases: • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Sphincter of Oddi manometry ... pancreatitis (treatment
Dysphagia Differential Diagnosis Algorithm Oropharyngeal Dysphagia Structural • Tumors • Zenker's Diverticulum • Foreign Bodv Neuromuscular Toxic/Metabolic • Myasthenia
Scleroderma • Achalasia
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