8 results
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
Gastroesophageal Reflux ... Presentation Medical ... Issues Diagnosis Algorithm ... Gastroesophageal #Reflux ... #Gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux ... Testing Ambulatory reflux ... Impedance testing Esophageal ... Gastroesophageal #Reflux ... diagnosis #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 ... Esophagus #diagnosis #gastroenterology ... #Algorithm
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... injury (by acid reflux ... reflux resulting ... Diagnosis: - EGD ... diagnosis #management #gastroenterology
Esophageal Dysphagia - History and Diagnosis Algorithm
Solids only - Probably Structural
 - Intermittent, Non-Progressive: Ring and/or
Esophageal Dysphagia ... and Diagnosis Algorithm ... • Slow +/- reflux ... +/-: Spasm #Esophageal ... #gastroenterology
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... incidentally during medical ... signs or symptoms (eg ... , skin or esophageal ... Eosinophil #Disorders #Algorithm
Los Angeles Classification of Reflux Esophagitis
Accurate endoscopic assessment of reflux esophagitis is vital in making accurate
Classification of Reflux ... assessment of reflux ... involves >75% of the esophageal ... diagnosis #grading #gastroenterology ... #EGD
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
sphincter to relax ... EGD: • Exclude ... fibers of the LES (eg ... LES pressure (eg ... management #treatment #gastroenterology