12 results
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
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 ... Disease (GERD) ... Presentation Medical ... Gastroesophageal #Reflux ... Treatment #Algorithm #Gastroenterology
GERD Phenotypes and Distinguishing Features
 • Non-erosive reflux disease (NERD)
 • Reflux hypersensitivity
 • Functional heartburn
GERD Phenotypes ... disease (NERD) ... grade C or D) • Barrett's ... 10.1136/bmj.m3786 #GERD ... syndromes #diagnosis #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
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
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... obstruction, Distal esophageal ... Fragmented peristalsis, GERD ... #Esophageal ... comparison #table #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 ... from esophagitis (GERD ... Diagnosis #causes #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Obstruction with GERD ... injury (by acid reflux ... reflux resulting ... Diagnosis: - EGD ... diagnosis #management #gastroenterology
Ear Pain (Otalgia) - Differential Diagnosis Framework

Primary Otalgia 
 - Pain that originates from the ear
Gastroesophageal reflux ... gastroesophageal reflux ... disease (GERD), ... esophageal carcinoma ... Previous episodes • Medical
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 ... GERD 2. ... LES pressure (eg ... management #treatment #gastroenterology