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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Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal Necrosis ... (Black Esophagus ... Acute #Esophageal #Necrosis ... #Black #Esophagus
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Boerhaave Syndrome on Endoscopy 

Boerhaave Syndrome with complete left wall dehiscence. This one went to surgery
Boerhaave Syndrome ... Endoscopy Boerhaave ... DrBloodandGuts #Boerhaave ... endoscopy #video #EGD #esophagus
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Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal Necrosis ... Acute #Esophageal #Necrosis ... #black #esophagus
Boerhaave Syndrome on Endoscopy - Pleural Space

Massive Spontaneous Esophageal Perforation (Boerhaave Syndrome) in active COVID 19
Boerhaave Syndrome ... Esophageal Perforation (Boerhaave ... #Boerhaave #Syndrome ... endoscopy #video #EGD #esophagus
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Classification of Pancreatic Fluid Collections
Interstitial Edematous Pancreatitis: 
 < 4 weeks - Acute (peri)panreatic fluid collection
weeks - Acute necrotic ... Intra and/or extra necrotic ... weeks - Walled off necrosis ... extra pancreatic necrotic
General algorithm for the management of inflammatory pancreatic fluid collections. 

ANC, acute necrotic collection; APFC, acute
ANC, acute necrotic ... WON, walled-off-necrosis
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
of Jackhammer Esophagus ... #Jackhammer #Esophagus
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... BE - distal esophagus ... #Barretts #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
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Spasm Jackhammer Esophagus