12 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
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Esophageal Motility Disorders ... Achalasia EGJ ... Spasm Jackhammer Esophagus ... Esophageal #Motility #Disorders ... #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
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Extrinsic to esophagus ... Barium swallow is ... dysphagia • Barium swallow ... → EGD Treatment ... Diagnosis #Management #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility Disorders ... , Distal Esophagus ... Ill achalasia, EGJ ... Esophageal #Motility #Disorders ... comparison #table #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
GERD: Testing EGD ... exclude motility disorders ... 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
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
EGD and the Banding ... adequately, pull back ... scope gently to allow ... Tricks #management #gastroenterology ... fellows #endoscopy #egd
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... varices (4 ports to allow ... cannulation, and allow ... Endoscopes: • ESOPHAGO-GASTRO-DUODENOSCOPE ... Aguila @enrrikke #Gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Neurodegenerative disorders ... sphincter to relax EGD ... adenocarcinoma Barium swallow ... esophageal motility disorders ... management #treatment #gastroenterology