391 results
Achalasia Management Algorithm
 - Botulinum Injection
 - Pharmacotherapy (CCB/nitrates)
 - Pneumatic Dilation
 - Peroral Endoscopic Myotomy
Achalasia Management ... Esophagectomy #Achalasia ... Management #Algorithm #gastroenterology
Achalasia Management Options - Decision Aid
- Peroral endoscopic Myotomy (POEM)
- Laparoscopic Heller myotomy (LHM)
- Pneumatic Dilatation
Achalasia Management ... ) - Botox #Achalasia ... #DecisionAid #gastroenterology
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Motility Disorders Achalasia ... Motility #Disorders #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Hypo-contractile Type I achalasia ... , Type II achalasia ... , Type Ill achalasia ... contractility, End-stage achalasia ... comparison #table #gastroenterology
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Achalasia Classification ... suggestive of end stage achalasia ... #Achalasia #Classification ... Types #radiology #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
scleroderma, MCTD, achalasia ... Oropharyngeal #Esophageal #gastroenterology
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
Systemic Sclerosis, Achalasia ... solids #liquids #gastroenterology
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Management of Achalasia ... subtypes • Achalasia ... < 30 mm Hg • Achalasia ... > 30 mm Hg • Achalasia ... ACG #Guidelines #gastroenterology
Esophageal Dysphagia - History and Diagnosis Algorithm
Solids only - Probably Structural
 - Intermittent, Non-Progressive: Ring and/or
Regurgitation++: Achalasia ... Diagnosis #Algorithm #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Achalasia Summary ... or idiopathic achalasia ... Secondary achalasia ... Achalasia has an ... management #treatment #gastroenterology