9 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Pseudomembranous esophagitis, Infection ... Klebsiella, pneumoniae) Management ... KBrag_MD #Acute #Esophageal ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... antibiotic use, infections ... after caustic ingestion ... Necrosis #diagnosis #management ... #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... or anchoring • INJECTION ... for submucosal injection ... mucosa Stricture Management ... Aguila @enrrikke #Gastroenterology
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Selective Biliary Cannulation ... instead of smooth insertion ... difficult further cannulation ... Difficult #ercp #gastroenterology ... #management #diagnosis
Basics of ERCP and Biliary Cannulation
 - Tools of the Trade - Duodenoscope
 - Passing the
ERCP and Biliary Cannulation ... II - Inspection ... of Papilla - Cannulation ... Duodenoscope #endoscopy #gastroenterology ... #management
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Mnemonic - Cirrhosis Management ... paracentesis / TIPS I - Infection ... Ddx: Gastric + esophageal ... Checklist #Mnemonic #Management ... Diagnosis #Hepatology #Gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Neurodegenerative disorders • Infection ... Other esophageal ... pressure (eg, injection ... Achalasia #diagnosis #management ... #treatment #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Treatment of Acute Esophageal ... role in acute esophageal ... RR of bacterial infection ... Bleeding #varices #management ... ebm #evidence #gastroenterology
Eosinophilic Esophagitis (EoE) - Topical Corticosteroids
 • Liquid - Budesonide - 1 mg PO BID -
bedtime increases esophageal ... immediately following ingestion ... is available Gastroenterology ... Corticosteroids #management