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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
of Barrett's Esophagus ... Medical Treatment ... Endoscopic Eradication ... #Treatment #Algorithm ... #Gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
EGD and Biopsy ... Differential: Melanosis ... Esophageal #Necrosis #black ... #esophagus #diagnosis ... #management #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... : - EGD showing ... circumferential black ... Treatment: - Treatment ... #management #gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
GBS, high sens. >12 ... • Start with EGD ... therapeutic scope as a back ... #diagnosis #management ... #algorithm
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... for palliative treatment ... : • ESOPHAGO-GASTRO-DUODENOSCOPE ... ENTEROSCOPE - Diagnostic ... Aguila @enrrikke #Gastroenterology
Helicobacter Pylori (H. pylori) Infection - Diagnosis and Management - GrepMed Handbook
Presentation: Dyspepsia / Peptic Ulcer
: • Endoscopic ... (IgG) - cannot differentiate ... Test or repeat EGD ... #Management #Treatment ... quadrupletherapy #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... Extrinsic to esophagus ... structural disorder → EGD ... Treatment • ... #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
: Testing The diagnosis ... , or endoscopic ... Treatment options ... #Achalasia #diagnosis ... #gastroenterology