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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 #Management ... #Treatment #Algorithm ... #Gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Incomplete/relief/treatment ... history of Barrett esophagus ... Stricture • Barrett esophagus ... Disease #diagnosis #management ... #Gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... distal third of esophagus ... Treatment: - Treatment ... Necrosis #diagnosis #management ... #gastroenterology
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Diagnosis and Management ... hemorrhage Management ... Nutrition: Early enteral ... diagnosis and management ... #Treatment #Gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Extrinsic to esophagus ... disorder → EGD Treatment ... Differential #Diagnosis #Management ... #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... ESD KNIFE - For lateral ... mucosa Stricture Management ... for palliative treatment ... Endoscopes: • ESOPHAGO-GASTRO-DUODENOSCOPE
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 ... sudden weight loss later ... Treatment options ... Achalasia #diagnosis #management ... #treatment #gastroenterology
Relapsing Polychondritis

What is it?
Recurrent inflammation of the cartilage in the body (Autoimmune disorder)

Who?
• Most frequently: 40
: • Recurrent bilateral ... MAGIC syndrome • Vexus ... affected tissue Treatment ... rheumatology #diagnosis #management