8 results
Esophageal Physiologic Testing

Endoscopy
High Resolution Manometry
Barium Esophagram
Functional Lumen Imaging Probe (FLIP)
Ambulatory Reflex Monitoring

Dr. Chaitanya Allamneni @CAllamneni via
Testing Endoscopy ... Resolution Manometry Barium ... Testing #Esophagus #diagnosis ... #gastroenterology ... #Algorithm
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Endoscopy to look ... puckering of the EGJ ... • Barium esophagogram ... High resolution esophageal ... ACG #Guidelines #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 ... adenocarcinoma Barium ... #diagnosis #management ... #treatment #gastroenterology
Achalasia Classification Types - Barium Contrast Esophagram:
1) Spindle type (classic)
2) Flask type 
3) Sigmoid type
Response to
Types - Barium ... Contrast Esophagram ... type Response to treatment ... suggestive of end ... Types #radiology #gastroenterology
Basics of Esophageal Strictures
 - History & Physical
 - When is a barium swallow helpful?
 -
Physical - When is a barium ... agents before EGD ... Strictures #Basics #endoscopy ... #egd #management ... #diagnosis #gastroenterology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... ligation - EGD ... performed within 12 ... #Management #treatment
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
disorder such as achalasia ... Barium swallow is ... structural disorder → EGD ... Treatment • ... #Management #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... Management: • ACHALASIA ... patients with achalasia ... for palliative treatment ... #accessories #EGD