37 results
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Esophageal Necrosis (Black ... Esophagus) on Endoscopy ... Esophageal #Necrosis #Black ... #Esophagus #Endoscopy ... #EGD #gastroenterology
Nutcracker Esophagus on Endoscopy

#Nutcracker #Esophagus #Endoscopy #clinical #video #gastroenterology #EGD
Nutcracker Esophagus ... #Nutcracker #Esophagus ... clinical #video #gastroenterology ... #EGD
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Can't initiate swallow ... attempting to swallow ... Esophageal - Swallowed ... Liquids (motor) - Lack ... solids #liquids #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... Esophageal #Necrosis #black ... #esophagus #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
Disorders Achalasia EGJ ... Spasm Jackhammer Esophagus ... Motility #Disorders #gastroenterology
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... BE - distal esophagus ... #Barretts #Esophagus ... Documentation #EGD ... #diagnosis #gastroenterology
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Metaplasia/Barrett's Esophagus ... Criteria #Barretts #Esophagus ... diagnosis #endoscopy #EGD ... #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
GERD: Testing EGD ... failure + negative EGD ... history of Barrett esophagus ... Stricture • Barrett esophagus ... diagnosis #management #Gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... Diagnosis: - EGD ... circumferential black ... distal third of esophagus ... diagnosis #management #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Extrinsic to esophagus ... Barium swallow is ... dysphagia • Barium swallow ... structural disorder → EGD ... Diagnosis #Management #gastroenterology