781 results
Ivor Lewis Esophagectomy on Chest X-Ray aka Gastric Pull-up
Ivor Lewis procedure is a type of esophagectomy
Esophagectomy on Chest ... mid or distal esophageal ... remind you of Achalasia ... distinguish it from achalasia ... Esophagectomy #Chest
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
diseases that cause esophageal ... food or saliva • Chest ... High-resolution esophageal ... Other esophageal ... • Distal esophageal
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
web or a distal esophageal ... disorder such as achalasia ... Esophageal Dysphagia ... but often feel chest ... sitting” in the chest
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Management of Achalasia ... liquids, heart burn, chest ... High resolution esophageal ... subtypes • Achalasia ... < 30 mm Hg • Achalasia
Mediastinal Mass - Differential Diagnosis Framework

Anterior Mediastinal Mass - 5T’s
 • Thymic neoplasm
 • Teratoma (or
Enteric cyst • Esophageal ... - Esophageal ... - Esophageal ... These include achalasia ... of breath • Chest
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
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
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
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Oropharyngeal Dysphagia Esophageal ... scleroderma, MCTD, achalasia ... Oropharyngeal #Esophageal