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Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Reflux Disease (GERD ... Extraesophageal Symptoms ... EmoryGastroHep #GERD ... Diagnosis #Management #Treatment ... #Algorithm #Gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Incomplete/relief/treatment ... /failure/symptom ... Nonpharmacologic Treatment ... Treatment - Antireflux ... diagnosis #management #Gastroenterology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
diagnosed with GERD ... contractions Definitive Treatment ... POEM Symptomatic Treatment ... ACG #Guidelines #gastroenterology ... #Treatemtn
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
GERD 2. ... dysphagia (<1 year ... Treatment: Laparoscopic ... Treatment options ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Obstruction with GERD ... melena - Other GI symptoms ... third of esophagus Treatment ... : - Treatment of ... diagnosis #management #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Diagnosis Framework Symptom ... disorder such as achalasia ... disorder → EGD Treatment ... Diagnosis #Management #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... perforation or tears ... Management: • ACHALASIA ... patients with achalasia ... for palliative treatment