558 results
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Achalasia Summary ... both solids and liquids ... sphincter to relax EGD ... fibers of the LES (eg ... LES pressure (eg
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Solid food and liquid ... or liquid-only ... disorder such as achalasia ... structural disorder → EGD
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
• Solids and Liquids ... Systemic Sclerosis, Achalasia ... Algorithm #solids #liquids
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
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
Yes 55 IV Clear liquid ... Yes 43 IV Clear liquid ... No 22 IV Clear liquid ... Classification #Endoscopy #EGD
Practice Guidelines for Preoperative Fasting

Infographic by Dr. Jesse Burk-Rafel
@jbrafel

> 8 hours - Heavy foods (fried/fatty) and
toast + clear liquid ... Non-alcoholic clear liquids ... Benefits of Clear Liquids
Achalasia Management Algorithm
 - Botulinum Injection
 - Pharmacotherapy (CCB/nitrates)
 - Pneumatic Dilation
 - Peroral Endoscopic Myotomy
Achalasia Management ... Esophagectomy #Achalasia
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Obstructive Physiology: EGJ ... Hypo-contractile Type I achalasia ... , Type II achalasia ... , Type Ill achalasia ... achalasia, IEM,
Sigmoid Esophagus on EGD

By Andrés Rodríguez Parra, MD @RodriguezParra_

#Sigmoid #Esophagus #EGD #endoscopy #clinical #achalasia
Sigmoid Esophagus on EGD ... Sigmoid #Esophagus #EGD ... endoscopy #clinical #achalasia
Diagnosis and Management of Achalasia - ACG Guidelines

Who to suspect?
 • Patients presenting with progressive dysphagia
Management of Achalasia ... to solids and liquids ... puckering of the EGJ ... subtypes • Achalasia ... < 30 mm Hg • Achalasia