ASGE Adult and Pediatric Gastroenterology and Endoscopy Board Preparatory and Review Course

Manfredi_Benign Esophageal Disease
Pdf Summary
The document discusses various topics related to benign esophageal diseases, specifically focusing on GERD, Eosinophilic Esophagitis (EoE), esophageal strictures, and primary esophageal motility disorders. It presents two challenge questions with multiple-choice response options for each question.<br /><br />The first challenge question is about a 40-year-old man with severe reflux symptoms. The question asks about the appropriate next step in management after PPI therapy fails to provide sustained relief. The response options include increasing the PPI dose, repeating upper endoscopy, ambulatory impedance pH monitoring on PPI therapy, or off PPI therapy.<br /><br />The second challenge question is about a 14-year-old teenager with food impaction. The question asks about the most appropriate treatment option for EoE. The response options include conducting skin-prick testing and removing positive foods from the diet, removing specific foods from the diet for eight weeks and then resuming a regular diet, prescribing an elemental diet and reintroducing foods sequentially, or removing specific foods from the diet and reintroducing them sequentially.<br /><br />The document also provides information on GERD definition, differential diagnosis, diagnosis, and treatment options. It discusses the grades of esophagitis and the management of GERD with and without red flag symptoms. Lifestyle modifications, PPIs, and surgical options are mentioned as treatment approaches.<br /><br />In addition, the document covers topics related to esophageal dysphagia, including types, differential diagnosis, and evaluation. It discusses EoE in detail, including clinical presentation, endoscopic appearance, diagnosis, and treatment options. Dietary elimination, PPI therapy, swallowed corticosteroids, and dilation are mentioned as treatment approaches for EoE.<br /><br />The document also touches on esophageal strictures, including their etiology, types, and endoscopic treatment options. It provides information on the use of esophageal stents and dilation techniques, such as balloon and bougie dilation. The management of complex, refractory, and recurrent strictures is discussed.<br /><br />Lastly, the document briefly discusses primary esophageal motility disorders, including achalasia and disorders of peristalsis. It mentions the diagnostic criteria and treatment options for achalasia and provides information on other motility disorders, such as distal esophageal spasm and hypercontractile esophagus.<br /><br />The final challenge question is about a 54-year-old woman diagnosed with achalasia. The question asks about the subtype of achalasia based on her manometry results. The response options include diagnostic criteria for the subtype, treatment outcomes, appropriate treatment options, and the responsiveness of the subtype to therapy.<br /><br />Overall, the document provides a comprehensive overview of benign esophageal diseases, including their diagnosis and management options. The challenge questions and response options serve as a means to test understanding and knowledge on the topic.
Keywords
benign esophageal diseases
GERD
Eosinophilic Esophagitis
esophageal strictures
primary esophageal motility disorders
PPI therapy
upper endoscopy
elemental diet
dilation
achalasia