ASGE Annual GI Advanced Practice Provider Course (Virtual) - Day Two | April 2022-Evaluation of the Patient with Dysphagia

Video Transcription

Video Summary

In the video, Dr. John Martin, a gastroenterologist at the Mayo Clinic in Minnesota, and Sorrel discusses the topic of dysphagia, or difficulty swallowing. They start by defining dysphagia as difficulty swallowing, in contrast to odynophagia, which is painful swallowing. They also differentiate dysphagia from regurgitation and globus sensation. They then discuss the categorization of dysphagia based on mechanical obstruction or esophageal dysmotility. Mechanical obstruction can be caused by foreign body impaction, cricopharyngeal bar, esophageal web, Schatzki's ring, esophageal diverticulum, or esophageal strictures (benign or malignant). Dysmotility of the esophagus can be due to conditions such as gastroesophageal reflux, eosinophilic esophagitis, scleroderma, diffuse esophageal spasm, nutcracker esophagus, achalasia, or pseudoachalasia. The diagnostic workup for dysphagia includes history taking, endoscopy, barium swallow, esophageal manometry, and impedance planimetry. Treatment options depend on the underlying cause and can range from lifestyle modifications and medication to procedures like dilation or surgery. The video provides several examples and considerations for treatment in specific cases, such as Zinkar's diverticulum, strictures, and achalasia. The importance of individualized treatment based on the patient's symptoms and specific etiology is emphasized. The video concludes with several practice pearls related to the diagnosis and management of dysphagia. No specific credits were mentioned in the video.

Asset Subtitle

John Martin, MD, FASGE and Sarel J. Myburgh APRN, CNP, MS

Keywords

dysphagia

difficulty swallowing

odynophagia

regurgitation

globus sensation

mechanical obstruction

esophageal dysmotility