15 results
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
Causes of Dysphagia ... Non-relaxation of EG ... junction: Achalasia ... Hypercontractile Esophagus ... #gastroenterology
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... Necrosis (Black Esophagus ... ) on Endoscopy ... #Endoscopy #EGD ... #gastroenterology
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Motility Disorders Achalasia ... EGJ Outflow Obstruction ... Distal Esophageal ... Spasm Jackhammer Esophagus ... Motility #Disorders #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Esophageal Dysphagia ... Sjogren, web • Mid esophagus ... scleroderma, MCTD, achalasia ... Oropharyngeal #Esophageal ... #gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Presentation: • Dysphagia ... Short duration of dysphagia ... , or endoscopic ... management #treatment #gastroenterology ... #esophageal #esophagus
Esophageal Perforation on Endoscopy
Male 68yo hepatopathy & ACO.  UpperGI bleeding & sengstaken tube. What’s your
Esophageal Perforation ... @EQuirurgica #Esophageal ... #Perforation #esophagus ... #Endoscopy #EGD ... #clinical #gastroenterology
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Esophageal Motility ... , Distal Esophagus ... , Distal esophageal ... peristalsis, GERD #Esophageal ... comparison #table #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Extrinsic to esophagus ... disorder such as achalasia ... structural disorder → EGD ... the underlying cause ... Diagnosis #Management #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... melena (70%), Dysphagia ... Sepsis Diagnosis EGD ... Necrosis #black #esophagus ... diagnosis #management #gastroenterology
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Endoscopically Suspected Esophageal ... Metaplasia/Barrett's Esophagus ... Criteria #Barretts #Esophagus ... #diagnosis #endoscopy ... #EGD #gastroenterology