ASGE Esophagology General GI Practice Virtual Program (LIVE Virtual) | April 2021-Making a Diagnosis of Achalasia and EGJOO

Video Transcription

Video Summary

In this video, Dr. Philip Katz gives a lecture on making a diagnosis of achalasia and esophagogastric junction (EGJ) outflow obstruction in 2021 as part of a virtual esophagology course. He begins by discussing the functional abnormalities of the esophagogastric junction in achalasia, which include incomplete relaxation and opening, abnormal esophageal contractions, and delayed bolus emptying. He also explains how to differentiate achalasia from EGJ outflow obstruction based on manometric findings and symptoms, such as dysphagia, heartburn, and regurgitation. Diagnostic tools such as endoscopy, timed barium swallow, high-resolution manometry, and endoflip are discussed, with Dr. Katz emphasizing the importance of a thorough examination and clinical history. He provides examples of endoscopic and barium findings suggestive of achalasia and demonstrates the different manometric phenotypes for achalasia and EGJ outflow obstruction. Finally, Dr. Katz introduces endoflip as a useful adjunct to manometry in assessing EGJ distensibility and contractility. He concludes by summarizing the diagnostic criteria for an EGJ outflow obstruction and expresses his gratitude to the course organizers. No credits were mentioned in the video.

Asset Subtitle

Philip Katz

Keywords

achalasia

esophagogastric junction

EGJ outflow obstruction

diagnosis

virtual esophagology course