13 results
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
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 ... #Necrosis #black ... diagnosis #management #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
Chicago Classification ... of Esophageal Motility ... Disorders Achalasia EGJ ... Contraction #Chicago #Classification ... #Disorders #gastroenterology
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... Non-relaxation of EG ... junction: Achalasia, EG ... mass, enlarged aorta ... Diagnosis #causes #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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... Diagnosis: - EGD ... circumferential black ... retrosternal or back ... 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
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
the wall of the aorta ... with chest/abd/back ... • Cardiac surgery ... Shock Treatment - ED
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Management of Bleeding Esophageal ... EGD and the Banding ... #Bleeding #Esophageal ... Tricks #management #gastroenterology ... fellows #endoscopy #egd
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