514 results
Achalasia on Endoscopy - Retroflexion View

53yo male referred for achalasia. Previous tx: transthoracic myotomy (80’s), then
transthoracic myotomy ... transabdo extension of myotomy ... Achalasia #Endoscopy #EGD
Achalasia on Endoscopy
53yo male referred for achalasia. Previous tx: transthoracic myotomy (80’s), then take down of
transthoracic myotomy ... transabdo extension of myotomy ... Achalasia #Endoscopy #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 ... Laparoscopic myotomy ... laparoscopic Heller myotomy ... peroral endoscopic myotomy ... LES pressure (eg
Myotomes of the Spinal Cord
Each segmental nerve root innervates more than one muscle. For simplicity, certain
Myotomes of the ... #Myotomes #SpinalCord
Achalasia Management Algorithm
 - Botulinum Injection
 - Pharmacotherapy (CCB/nitrates)
 - Pneumatic Dilation
 - Peroral Endoscopic Myotomy
Peroral Endoscopic Myotomy ... Laparoscopic Heller's Myotomy
Lower Extremity Dermatomes and Myotomes
Reflexes: 
 • Knee - L2, L3, L4
 • Ankle - S1
Dermatomes and Myotomes ... Extremity #Dermatomes #Myotomes
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... hold from sharp end ... not, trail sharp end ... Removal #Endoscopy #egd
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
forceps biopsy (EGD ... - Resections (ESD ... Gastroenterology #EGD
Mytomes - Segmental Innervation of Muscles
Shoulder	Abduction	C5	Axillary Nerve
Shoulder	Adduction	C6-C8	Thoracodorsal Nerve
Elbow	Flexion	C5	Musculocutaneous Nerve
Elbow	Extension	C7	Radial Nerve
Wrist	Extension	C6	Radial Nerve
Fingers	Flexion	C8	Median Nerve
Fingers	Abduction	T1	Ulnar Nerve
Hip	Flexion	L2	Nerve to Psoas
Hip	Extension	S1	Inferior Gluteal
Mytomes - Segmental ... Tibial Nerve #Mytomes
Esophagogastroduodenoscopy (EGD) Basics
 - EGD Timing
 - EGD Complications
 - Review of Gastric Anatomy
 - EGD
Esophagogastroduodenoscopy (EGD ... ) Basics - EGD ... Timing - EGD Complications ... Gastric Anatomy - EGD ... Anticoagulation during EGD