13 results
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Chicago Classification ... Disorders Achalasia ... EGJ Outflow Obstruction ... Contraction #Chicago #Classification ... #Disorders #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... , Distal esophageal ... achalasia, IEM, ... peristalsis, GERD #Esophageal ... comparison #table #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Non-relaxation of EG ... junction: Achalasia ... , EG junction outflow ... mass, enlarged aorta ... Diagnosis #causes #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Sepsis Diagnosis EGD ... PPI gtt, GI and Surgery ... KBrag_MD #Acute #Esophageal ... diagnosis #management #gastroenterology
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Achalasia Classification ... Barium Contrast Esophagram ... suggestive of end ... #Achalasia #Classification ... Types #radiology #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

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

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
web or a distal esophageal ... disorder such as achalasia ... Esophageal Dysphagia ... structural disorder → EGD ... Diagnosis #Management #gastroenterology
Basics of Esophageal Strictures
 - History & Physical
 - When is a barium swallow helpful?
 -
Basics of Esophageal ... - Classification ... agents before EGD ... Basics #endoscopy #egd ... management #diagnosis #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
sphincter to relax EGD ... Other esophageal ... fibers of the LES (eg ... LES pressure (eg ... management #treatment #gastroenterology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Management of Achalasia ... puckering of the EGJ ... High resolution esophageal ... (HRM) Chicago classification ... ACG #Guidelines #gastroenterology