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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
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
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... history of Barrett esophagus ... Stricture • Barrett esophagus ... #Disease #diagnosis ... #management #Gastroenterology
Esophageal Physiologic Testing

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

Dr. Chaitanya Allamneni @CAllamneni via
Physiologic Testing Endoscopy ... FLIP) Ambulatory Reflex ... Physiologic #Testing #Esophagus ... #diagnosis #gastroenterology ... #Algorithm
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
injury (by acid reflux ... is restored to esophagus ... : - EGD showing ... Treatment: - Treatment ... #management #gastroenterology
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
Los Angeles Classification of Reflux Esophagitis
Accurate endoscopic assessment of reflux esophagitis is vital in making accurate
of Reflux Esophagitis ... Accurate endoscopic ... #diagnosis #grading ... #gastroenterology ... #EGD
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
: Testing The diagnosis ... esophageal sphincter to relax ... EGD: • Exclude ... #Achalasia #diagnosis ... #gastroenterology
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 ... (HRM) Chicago classification ... ACG #Guidelines #gastroenterology