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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 ... #Esophagus #Diagnosis ... #Management #Treatment ... #Algorithm #Gastroenterology
Endoscopy in Barrett's Esophagus - Scoping Summary
- What we need to know?
   • Risk
Endoscopy in Barrett's ... - Endoscopic Treatment ... #Barretts #Esophagus ... #Summary #diagnosis ... #management #algorithm
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Columnar Metaplasia/Barrett's ... Esophagus 1) Ensure ... #Esophagus #diagnosis ... #endoscopy #EGD ... #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... esophagus or esophageal ... • Stricture • Barrett ... esophagus • Esophageal ... #management #Gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Stevens-Johnson syndrome ... is restored to esophagus ... : - EGD showing ... Treatment: - Treatment ... #management #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
- Differential Diagnosis ... Extrinsic to esophagus ... structural disorder → EGD ... Treatment • ... #Management #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... mucosa Stricture Management ... for palliative treatment ... Endoscopes: • ESOPHAGO-GASTRO-DUODENOSCOPE ... #accessories #EGD
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
: Testing The diagnosis ... sphincter to relax EGD ... #Achalasia #diagnosis ... #management #treatment ... #gastroenterology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... • Endoscopy to look ... puckering of the EGJ ... #Management #ACG ... #Guidelines #gastroenterology