194 results
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
web or a distal esophageal ... Esophageal Dysphagia ... retrosternal region • Bolus ... structural disorder → EGD ... the underlying cause
Boerhaave Syndrome on Endoscopy
Another spontaneous esophageal perforation (Boerhaave Syndrome) with gross mediastinal soiling from retching a
Another spontaneous esophageal ... retching a food bolus ... Syndrome #Endoscopy #EGD ... #esophageal #perforation
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Oropharyngeal and Esophageal ... 4 T's), Goiter Esophageal ... Non-relaxation of EG ... junction: Achalasia, EG ... Oropharyngeal #Esophageal
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Esophageal Crohn's ... Non-Traversable -> Esophagram ... Consider PEG & EEN • EGD ... Fibrin Injection • EGD ... Waseem_AhmedMD #Esophageal
Food Bolus Removal - Endoscopy Tips and Tricks

By Dr. Steven Bollipo @stevenbollipo and Dr. Enrik Aguila
Food Bolus Removal ... enrrikke #Food #Bolus ... fellows #endoscopy #egd
Esophagogastroduodenoscopy (EGD) Basics
 - EGD Timing
 - EGD Complications
 - Review of Gastric Anatomy
 - EGD
Esophagogastroduodenoscopy (EGD ... ) Basics - EGD ... Timing - EGD Complications ... Gastric Anatomy - EGD ... antibiotics - Esophageal
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Octreotide: • 50mcg bolus ... unclear source (in case ... variceal ligation - EGD ... Surveillance EGD
Algorithm for the Evaluation of Dysphagia:Oropharyngeal:
- Characterized by difficulty initiating swallowing and accompanied by choking/coughing, nasopharyngeal
(release upper esophageal ... VII, IX, X, XII) Esophageal ... sensation of food bolus ... esophagus and lower esophageal ... Oropharyngeal #Esophageal
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 ... Disorders Achalasia EGJ ... Obstruction Distal Esophageal ... Classification #Esophageal
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... Sepsis Diagnosis EGD ... KBrag_MD #Acute #Esophageal