26 results
Achalasia on Endoscopy - Retroflexion View

53yo male referred for achalasia. Previous tx: transthoracic myotomy (80’s), then
Achalasia on Endoscopy ... - Retroflexion ... male referred for achalasia ... RobertBechara #Achalasia ... EGD #clinical #Retroflexion
Achalasia Management Algorithm
 - Botulinum Injection
 - Pharmacotherapy (CCB/nitrates)
 - Pneumatic Dilation
 - Peroral Endoscopic Myotomy
Achalasia Management ... Esophagectomy #Achalasia
Ivor Lewis Esophagectomy on Chest X-Ray aka Gastric Pull-up
Ivor Lewis procedure is a type of esophagectomy
remind you of Achalasia ... distinguish it from achalasia
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Motility Disorders Achalasia
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Systemic Sclerosis, Achalasia
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Scleroderma • Achalasia
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
scleroderma, MCTD, achalasia
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
of EG junction: Achalasia
FIGURE 2. CHALAZION.  

Hordeola and chalazia are two common causes of the red, swollen eyelid
Hordeola and chalazia
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Hypo-contractile Type I achalasia ... , Type II achalasia ... , Type Ill achalasia ... contractility, End-stage achalasia