Amazing ACG VGR by Dr. Pandolfino! 👏
✅The Chicago classification is imperfect
🚫 think of thresholds, such as IRP & DL, as binary. Interpret in the context of the peristaltic pattern
✅Consider supplementary maneuvers in addition to the standard 10 supine liquid swallows
✅The Chicago classification is imperfect
🚫 think of thresholds, such as IRP & DL, as binary. Interpret in the context of the peristaltic pattern
✅Consider supplementary maneuvers in addition to the standard 10 supine liquid swallows
EGJOO‐ not always achalasia in evolution.
✅Can be an artifact, mechanical obstruction or an anatomical issue
✅NEED supportive evidence, such as TBE, HRIM or FLIP
✅Great algorithm for EGJOO diagnosis & management 👇
#GITwitter #GIFellowship
✅Can be an artifact, mechanical obstruction or an anatomical issue
✅NEED supportive evidence, such as TBE, HRIM or FLIP
✅Great algorithm for EGJOO diagnosis & management 👇
#GITwitter #GIFellowship
Approach to jackhammer or spasm:
1⃣Assess severity of motility disturbance
2⃣Assess context in terms of presentation & anatomy
3⃣Consider further diagnostics
4⃣Medical management
Last resort: POEM (if obstruction)
#GITwitter #GIFellowship
1⃣Assess severity of motility disturbance
2⃣Assess context in terms of presentation & anatomy
3⃣Consider further diagnostics
4⃣Medical management
Last resort: POEM (if obstruction)
#GITwitter #GIFellowship
