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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
Diagnosis and Management ... of Barrett's Esophagus ... #Barretts #Esophagus ... #Diagnosis #Management ... Treatment #Algorithm #Gastroenterology
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Management of Jackhammer ... Esophagus or Esophageal ... Consider further diagnostics ... #Jackhammer #Esophagus ... #gastroenterology
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Dysphagia - Differential ... Diagnosis Algorithm ... disorders, ALS, MS ... Sjogren, web • Mid esophagus ... Oropharyngeal #Esophageal #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... EGD and Biopsy Differential ... Necrosis #black #esophagus ... #diagnosis #management ... #gastroenterology
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
Inferior Glenohumeral Ligament ... inferior glenohumeral ligament ... Differential diagnosis ... clinical #Radiology #diagnosis ... #msk
Oropharyngeal and Esophageal Causes of Dysphagia - Differential Diagnosis
Oropharyngeal Dysphagia
 • Neuromuscular causes: CVA/CNS tumor/ALS, Parkinson's,
of Dysphagia - Differential ... Diagnosis Oropharyngeal ... Hypercontractile Esophagus ... #Diagnosis #causes ... #gastroenterology
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology
Imaging Findings:
 • Os trigonum which has marrow
Trigonum) Syndrome - MSK ... hallucis longus Differential ... diagnosis for similar ... findings and torn ligament ... #msk
Pancreatic cystic lesions (PCLs)
 - classified into simple retention cysts, pseudocysts and cystic neoplasms 
 -
characteristics - various diagnostic ... lesions #PCLs #gastroenterology ... #diagnosis #management ... #differential
Lynch Syndrome:
 • "CRC + Endometrial/Ovarian + Stomach + Urinary → Lynch Syndrome"
 • Autosomal Dominant,
Microsatellite Instability (MSI ... Lynch #Syndrome #diagnosis ... #management #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... UGIB #GIBleed #Differential ... #Diagnosis #management ... gastrointestinal #gastroenterology