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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gastroenterology diagnosis egd endoscopy clinical esophageal management barretts hepatology mortality acute algorithm black boerhaave disorders necrosis syndrome vessel alcoholrelatedliverdisease ald
Chicago Classification of Esophageal Motility Disorders Achalasia EGJ Outflow Obstruction Distal Esophageal Spasm Jackhammer Esophagus Absent Contractility Ineffective Motility Rapid Contraction #Chicago #Classification #Esophageal
of Esophageal Motility ... Spasm Jackhammer Esophagus ... Contractility Ineffective Motility ... Classification #Esophageal #Motility
Management of Jackhammer Esophagus or Esophageal Spasm Step 1: Assess the severity of the motility disturbance Step 2:
of Jackhammer Esophagus ... severity of the motility ... #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
Cirrhosis Timeline and Mortality Rate Compensated Cirrhosis Stage 1 - No varices (Annual Mortality Rate 1%) Stage 2 -
Cirrhosis Timeline and Mortality ... varices (Annual Mortality ... Varices+ (Annual Mortality ... Ascites+ (Annual Mortality ... #Cirrhosis #Mortality
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy Dr. Joaquín Berrueta Mezzera @DrJBerrueta #Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Necrosis (Black Esophagus ... Necrosis #Black #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,
Necrosis #black #esophagus
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Endoscopy: Normal esophagus
5 year mortality and Survival in Alcohol Related Liver Disease patients admitted to the ICU Source data:
5 year mortality ... ARLD #survival #mortality
Esophageal Motility Disorders Obstructive Physiology: EGJ, Distal Esophagus Distal Contractility: Hyper-contractile, Hypo-contractile Type I achalasia, Type II achalasia, Type
Esophageal Motility ... Physiology: EGJ, Distal Esophagus ... #Esophageal #Motility
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