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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 ... Algorithm Refractory ... and Endoscopic Therapy ... Gastroesophageal #Reflux ... Treatment #Algorithm #Gastroenterology
Basics of Biliary Strictures on Endoscopy
 - Causes of Biliary strictures
 - Benign Strictures Classification
 -
on Endoscopy - ... Classification ... - Diagnostic modalities ... #EGD #diagnosis ... management #ercp #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
: Diagnosis • Heartburn ... Esophageal manometry • Refractory ... esophagitis • Stricture ... #Disease #diagnosis ... #management #Gastroenterology
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Esophagitis (EoE) - Endoscopic ... Severe (depth) Stricture ... ReFerence #Score #diagnosis ... #classification ... #gastroenterology
Basics of Esophageal Strictures
 - History & Physical
 - When is a barium swallow helpful?
 -
- Classification ... of Strictures ... #Basics #endoscopy ... egd #management #diagnosis ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Obstruction with GERD ... injury (by acid reflux ... promote esophageal reflux ... - Esophageal stricture ... #management #gastroenterology
Los Angeles Classification of Reflux Esophagitis
Accurate endoscopic assessment of reflux esophagitis is vital in making accurate
Los Angeles Classification ... of Reflux Esophagitis ... Accurate endoscopic ... #diagnosis #grading ... #gastroenterology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... with GERD who are ... • Endoscopy to look ... (HRM) Chicago classification ... ACG #Guidelines #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
: Testing The diagnosis ... esophageal sphincter to relax ... GERD 2. ... #Achalasia #diagnosis ... management #treatment #gastroenterology