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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 ... #Esophagus #Endoscopy ... #EGD #gastroenterology
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
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 ... #esophagus #diagnosis ... #management #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
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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... is restored to esophagus ... symptoms include dysphagia ... Diagnosis: - EGD ... #management #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... Management: • ACHALASIA ... patients with achalasia ... energy or heat to cause ... : • ESOPHAGO-GASTRO-DUODENOSCOPE
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
with progressive dysphagia ... • Endoscopy to look ... puckering of the EGJ ... High resolution esophageal ... ACG #Guidelines #gastroenterology