23 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 ... EGJ Outflow Obstruction ... Distal Esophageal ... Motility #Disorders #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... , Distal esophageal ... peristalsis, GERD #Esophageal ... comparison #table #gastroenterology ... #diagnosis
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
- Differential Diagnosis ... Non-relaxation of EG ... junction: Achalasia ... #Differential #Diagnosis ... #causes #gastroenterology
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
- Differential Diagnosis ... attempting to swallow Esophageal ... Systemic Sclerosis, Achalasia ... #Differential #Diagnosis ... solids #liquids #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
- Differential Diagnosis ... scleroderma, MCTD, achalasia ... #Differential #Diagnosis ... Oropharyngeal #Esophageal ... #gastroenterology
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
 • Gastroesophageal reflux disease
 • Eosinophilic gastrointestinal
Secondary Causes of Esophageal ... - Differential Diagnosis ... gastrointestinal disease • Achalasia ... syndrome • Severe atopy ... Secondary #Causes #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... chest pain, Sepsis Diagnosis ... EGD and Biopsy ... black #esophagus #diagnosis ... #management #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... Impedance testing Esophageal ... Laryngitis • Asthma ... Reflux #Disease #diagnosis ... #management #Gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
- Differential Diagnosis ... Framework Symptom | Diagnosis ... disorder such as achalasia ... structural disorder → EGD ... #Management #gastroenterology
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 ... LES pressure (eg ... #diagnosis #management ... #treatment #gastroenterology