Dr. Michael Chew @mchew85
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GrepMed Gastroenterology-Hepatology Editor, Academic Hospitalist UC Davis Medical Center Internal Medicine, Yale Gastroenterology Fellow '22
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Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
Eosinophilic Esophagitis (EoE ... eosinophilia, ≥ 15 eos ... /hpf 1-6 eos/hpf ... Endoscopy: Normal esophagus ... #Esophagitis #EoE
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Necrosis (Black Esophagus ... Necrosis #Black #Esophagus ... #Endoscopy #EGD
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... BE - distal esophagus ... #Barretts #Esophagus ... Documentation #EGD
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Disorders Achalasia EGJ ... Spasm Jackhammer Esophagus
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... Necrosis #black #esophagus
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Metaplasia/Barrett's Esophagus ... Criteria #Barretts #Esophagus ... diagnosis #endoscopy #EGD
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Eosinophilic Esophagitis (EoE ... Present #EREFS #EoE ... gastroenterology #EGD
Boerhaave Syndrome on Endoscopy 

Boerhaave Syndrome with complete left wall dehiscence. This one went to surgery
clinical #endoscopy #video ... #EGD #esophagus
Bottlecap enlodged in the Esophagus on xray and egd
Opening a beer with your teeth ensures the
enlodged in the Esophagus ... on xray and egd ... #Bottlecap #Esophagus ... cxr #radiology #egd
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Obstructive Physiology: EGJ ... , Distal Esophagus ... Ill achalasia, EGJ ... contractility, End-stage