23 results
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 ... #Necrosis #black ... #gastroenterology
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... Necrosis (Black ... #Necrosis #Black ... Esophagus #Endoscopy #EGD ... #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Consult GI ± EGD ... #UGIB #GIBleed ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
The Minnesota Tube
-Flexible plastic tube with 4 important components
-Gastric Aspiration Port
-Gastric Balloon (400cc)
-Esophageal Balloon (inflated typically
bleeding in Upper GI bleed ... due to esophageal ... could lead to necrosis ... #Management #MinnesotaTube ... #UpperGI #GIBleed
Esophagogastroduodenoscopy (EGD) Basics
 - EGD Timing
 - EGD Complications
 - Review of Gastric Anatomy
 - EGD
) Basics - EGD ... Gastric Anatomy - EGD ... antibiotics - Esophageal ... #Basics #gastroenterology ... #endoscopy #managmenet
Endoscopic Management of Pancreatic Walled Off Necrosis
 - Pancreatic Fluid Collections Basics
 - The Whys and
Endoscopic Management ... Pancreatic Walled Off Necrosis ... #won #egd #endoscopy ... #endoscopic #Management ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... Necrosis should ... Diagnosis: - EGD ... #Necrosis #diagnosis ... #management #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
hemorrhage (particular esophageal ... of gastric and esophageal ... #UGIB #Upper #GIBleed ... #management #instructions ... #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Impedance testing Esophageal ... Barrett esophagus or esophageal ... Barrett esophagus • Esophageal ... Disease #diagnosis #management ... #Gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
web or a distal esophageal ... Esophageal Dysphagia ... structural disorder → EGD ... Differential #Diagnosis #Management ... #gastroenterology