16 results
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... Necrosis (Black ... Esophagus) on Endoscopy ... #Necrosis #Black ... #EGD #gastroenterology
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 EGJ ... Spasm Jackhammer Esophagus ... #Motility #Disorders ... #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Necrosis History ... Sepsis Diagnosis EGD ... #esophagus #diagnosis ... #management #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... Disorders Obstructive ... , Distal Esophagus ... #Motility #Disorders ... comparison #table #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... is restored to esophagus ... Diagnosis: - EGD ... distal third of esophagus ... #management #gastroenterology
Acute Esophageal Necrosis - Esophagogastroduodenoscopy (EGD) revealed a black esophagus with ulcerated longitudinal necrosis in the
Acute Esophageal ... (EGD) revealed ... a black esophagus ... in the lower esophagus ... consistent with acute esophageal
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Extrinsic to esophagus ... motility disorder ... motility disorder ... → EGD Treatment ... Diagnosis #Management #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Oropharyngeal Dysphagia Esophageal ... ): stroke, NMJ disorders ... Sjogren, web • Mid esophagus ... Oropharyngeal #Esophageal ... #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Impedance testing Esophageal ... exclude motility disorders ... history of Barrett esophagus ... Stricture • Barrett esophagus ... diagnosis #management #Gastroenterology
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... endoscopically suspected esophageal ... BE - distal esophagus ... Documentation #EGD ... #diagnosis #gastroenterology