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Diagnosis and Management of Barrett's Esophagus

Diagnosis
Screening
Surveillance Algorithm
Medical Treatment
Endoscopic Eradication Therapy (EET)

By Dr. Hima Veeramachaneni @hima_vee @EmoryGastroHep

#Barretts
Diagnosis and Management ... of Barrett's Esophagus ... Diagnosis Screening ... #Barretts #Esophagus ... Treatment #Algorithm #Gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... PPI gtt, GI and Surgery ... Necrosis #black #esophagus ... #diagnosis #management ... #gastroenterology
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
of Jackhammer Esophagus ... Consider further diagnostics ... #Jackhammer #Esophagus ... Spasm #Management #gastroenterology
POCUS - Regional Anesthesia - Trunk Local Nerve Block

 - Thoracic Paravertebral
 - Erector Spinae
 -
Nerve Block - Thoracic ... Pecs - Breast Surgery ... Blocks #POCUS #Ultrasound
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... (histological diagnosis ... BE - distal esophagus ... Documentation #EGD #diagnosis ... #gastroenterology
Endoscopic Ultrasound (EUS) - 6 Landmarks

#Endoscopic #Ultrasound #EUS #Landmarks #diagnosis #gastroenterology
Endoscopic Ultrasound ... #Endoscopic #Ultrasound ... EUS #Landmarks #diagnosis ... #gastroenterology
Causes of Localized Lymphadenopathy - Differential Diagnosis Algorithm
Cervical:
 - Anterior
     • Infection
- Differential Diagnosis ... Supraclavicular: • Thoracic ... Mediastinum, Lungs, Esophagus ... Infection (Arm, Thoracic ... #Differential #Diagnosis
Caustic Esophageal Injuries

Dr. Chandana Sri @santalum_aurum

#Caustic #Esophageal #Injuries #esophagus #diagnosis #management #surgery #gastroenterology
Esophageal #Injuries #esophagus ... #diagnosis #management ... #surgery #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

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

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