ASGE Recognized Industry Associate (ARIA) Training Program OPEN | October 2024-6 updated 10.7.24_GI Tract In Disease_Esophagus

6 updated 10.7.24_GI Tract In Disease_Esophagus_Stomach

Pdf Summary

The document provides an extensive overview of various diseases and conditions affecting the esophagus and stomach, components of the gastrointestinal (GI) tract. Key topics include gastroesophageal reflux disease (GERD), characterized by the reflux of stomach contents into the esophagus, leading to symptoms like heartburn and acid regurgitation. Treatment options for GERD range from lifestyle modifications to surgical interventions such as Nissen Fundoplication.<br /><br />Esophagitis, an inflammation of the esophagus, can be caused by GERD, infections, medications, or caustic substances. Barrett's Esophagus, a precancerous condition, involves the replacement of esophageal lining and increases the risk of esophageal cancer. Diagnostic measures, including the LA Classification and treatment options, such as radiofrequency ablation, are discussed.<br /><br />Esophageal Motility Disorders, including Achalasia, cause abnormal esophageal movement, presenting symptoms like dysphagia and chest pain. Treatment includes botulinum injection, pneumatic dilation, and advanced surgical techniques like Peroral Endoscopic Myotomy (POEM).<br /><br />Peptic Ulcer Disease, characterized by mucosal breaks in the stomach or duodenum, may result from Helicobacter pylori infection or NSAID use. Symptoms encompass abdominal pain and gastrointestinal bleeding, treated with eradication of H. pylori, proton-pump inhibitors, and other therapies.<br /><br />Upper Gastrointestinal Bleeding causes significant health risks, managed through measures like volume resuscitation and endoscopic hemostasis. Conditions like gastric outlet obstruction, often due to peptic ulcers or malignancies, lead to obstructed stomach emptying, necessitating treatments like stents or surgery.<br /><br />Gastroparesis, a delayed gastric emptying condition without mechanical obstruction, is associated with diabetes and post-surgical complications. Treatments include dietary modifications and medications to promote gastric motility.<br /><br />Subepithelial Masses in the GI tract require careful differentiation, with endoscopic ultrasound being the most precise diagnostic tool, guiding further management.<br /><br />Overall, the document outlines the mechanisms, symptoms, diagnostic methods, and treatments for a range of esophageal and stomach diseases.

Keywords

gastroesophageal reflux disease

esophagitis

Barrett's Esophagus

esophageal motility disorders

peptic ulcer disease

upper gastrointestinal bleeding

gastroparesis

subepithelial masses

diagnostic methods

treatment options