15 results
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Classification of Esophageal ... Motility Disorders Achalasia ... EGJ Outflow Obstruction ... Distal Esophageal ... Motility #Disorders #gastroenterology
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... endoscopically suspected esophageal ... Niriella @madunil #Barretts ... Documentation #EGD ... #diagnosis #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... , Distal esophageal ... achalasia, IEM, ... peristalsis, GERD #Esophageal ... comparison #table #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux ... Testing Ambulatory reflux ... Family history of Barrett ... • Stricture • Barrett ... diagnosis #management #Gastroenterology
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Endoscopically Suspected Esophageal ... Columnar Metaplasia/Barrett's ... Prague #Criteria #Barretts ... diagnosis #endoscopy #EGD ... #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... Non-relaxation of EG ... junction: Achalasia ... , EG junction outflow ... Diagnosis #causes #gastroenterology
Esophageal Dysphagia - History and Diagnosis Algorithm
Solids only - Probably Structural
 - Intermittent, Non-Progressive: Ring and/or
Esophageal Dysphagia ... • Slow +/- reflux ... Regurgitation++: Achalasia ... +/-: Spasm #Esophageal ... Diagnosis #Algorithm #gastroenterology
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
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
web or a distal esophageal ... disorder such as achalasia ... Esophageal Dysphagia ... structural disorder → EGD ... 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: • Exclude ... fibers of the LES (eg ... LES pressure (eg ... management #treatment #gastroenterology