9 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 ... Spasm Jackhammer Esophagus ... #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 ... Sepsis Diagnosis EGD ... PPI gtt, GI and Surgery ... Necrosis #black #esophagus ... #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 ... Hypercontractile Esophagus ... mass, enlarged aorta ... Diagnosis #causes #gastroenterology
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Achalasia Classification ... suggestive of end ... LES since the esophagus ... #Achalasia #Classification ... Types #radiology #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Before antireflux surgery ... history of Barrett esophagus ... Stricture • Barrett esophagus ... Disease #diagnosis #management ... #Gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
two-thirds of the esophagus ... sphincter to relax EGD ... #diagnosis #management ... #treatment #gastroenterology ... #esophageal #esophagus
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Extrinsic to esophagus ... disorder such as achalasia ... structural disorder → EGD ... Differential #Diagnosis #Management ... #gastroenterology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... puckering of the EGJ ... High resolution esophageal ... (HRM) Chicago classification ... ACG #Guidelines #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... mucosa Stricture Management ... : • ACHALASIA BALLOON ... Endoscopes: • ESOPHAGO-GASTRO-DUODENOSCOPE ... #accessories #EGD