6 results
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... Necrosis (Black ... #Necrosis #Black ... Esophagus #Endoscopy #EGD ... #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Necrosis History ... Sepsis Diagnosis EGD ... #Necrosis #black ... diagnosis #management #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 ... #management #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
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