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management diagnosis disease esophageal gastroesophageal necrosis reflux algorithm black bleeding ebm esophagus evidence gibleed nonvariceal treatment ugib upper variceal varices
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
Reflux Disease (GERD ... Symptoms Long-Term PPI ... Algorithm Refractory GERD ... EmoryGastroHep #GERD ... Treatment #Algorithm #Gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary GERD: Diagnosis • Heartburn (substernal burning sensation) and acid regurgitation • Chest pain Extraesophageal
indications → PPI ... Therapeutic trial of PPI ... → discontinue PPI ... recurrence → EGD off PPI ... impedance pH) • PPI
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
Acute Esophageal ... no NGT, mlVF, PPI ... Braghirol @KBrag_MD #Acute ... diagnosis #management #gastroenterology
Esophageal Necrosis Etiology: - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events - Associated
Obstruction with GERD ... 48 hours - IV PPI ... diagnosis #management #gastroenterology
Acute Non-Variceal Upper GI Bleeding Pre-Endoscopy Management: • Hemodynamic resuscitation • No routine NG tube • Risk
Acute Non-Variceal ... Pre-endoscopy IV PPI ... • High dose IV PPI ... GIBleed #management #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding • Octreotide (PMID: 11870374) - Endoscopic banding +
for Treatment of Acute ... mortality benefit • PPI ... ) - No role in acute ... ebm #evidence #gastroenterology
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