11 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 ... FLIP) Ambulatory Reflex ... Testing #Esophagus #diagnosis ... #gastroenterology ... #Algorithm
Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Gastroesophageal Reflux ... Algorithm Refractory ... Surgical and Endoscopic ... #Management #Treatment ... #Algorithm #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: • Exclude ... #diagnosis #management ... #treatment #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
Esophageal Dysphagia - History and Diagnosis Algorithm
Solids only - Probably Structural
 - Intermittent, Non-Progressive: Ring and/or
Esophageal Dysphagia ... Algorithm Solids ... • Slow +/- reflux ... Regurgitation++: Achalasia ... #Algorithm #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux ... Summary GERD: Diagnosis ... Testing Ambulatory reflux ... #Disease #diagnosis ... #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
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Diagnosis and Management ... • Endoscopy to look ... puckering of the EGJ ... High resolution esophageal ... ACG #Guidelines #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
injury (by acid reflux ... reflux resulting ... : - EGD showing ... : - Treatment of ... #management #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
- Differential Diagnosis ... disorder such as achalasia ... structural disorder → EGD ... Treatment • ... #Management #gastroenterology