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

#Chicago #Classification #Esophageal
Classification of Esophageal ... Motility Disorders Achalasia ... Obstruction Distal Esophageal ... Classification #Esophageal
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... , Type II achalasia ... , Type Ill achalasia ... obstruction, Distal esophageal ... peristalsis, GERD #Esophageal
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Polymyositis Esophageal ... Intermittent Symptoms • Esophageal ... Scleroderma • Achalasia ... Schatzki Ring • Esophageal ... Stricture • Esophageal
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
attempting to swallow Esophageal ... Intermittent: Diffuse Esophageal ... Systemic Sclerosis, Achalasia ... Non-Progressive: Esophageal
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
diseases that cause esophageal ... incomplete lower esophageal ... High-resolution esophageal ... Other esophageal ... • Distal esophageal
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Oropharyngeal Dysphagia Esophageal ... scleroderma, MCTD, achalasia ... Oropharyngeal #Esophageal
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... 4 T's), Goiter Esophageal ... of EG junction: Achalasia ... Fragmented Peristalsis, Esophageal ... Oropharyngeal #Esophageal
Ivor Lewis Esophagectomy on Chest X-Ray aka Gastric Pull-up
Ivor Lewis procedure is a type of esophagectomy
mid or distal esophageal ... remind you of Achalasia ... distinguish it from achalasia
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Achalasia Classification ... Barium Contrast Esophagram ... suggestive of end stage achalasia ... #Achalasia #Classification ... barium #contrast #Esophagram
Esophageal Dysphagia - History and Diagnosis Algorithm
Solids only - Probably Structural
 - Intermittent, Non-Progressive: Ring and/or
Esophageal Dysphagia ... Regurgitation++: Achalasia ... +/-: Spasm #Esophageal