ASGE Recognized Industry Associate (ARIA) Training Program for Regeneron and Sanofi | June 2023-Case Discussion

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This document discusses three cases of patients with dysphagia. <br /><br />Case 1: A 56-year-old male presents with difficulty swallowing, weight loss, and a history of hypertension and tobacco use. Possible causes of dysphagia include malignancy, peptic stricture, eosinophilic esophagitis, Schatzki's ring, and motility disorders. The recommended next step in the patient's care is an esophagogastroduodenoscopy (EGD) to evaluate the cause of dysphagia. EGD reveals adenocarcinoma.<br /><br />Case 2: A 34-year-old male presents with intermittent difficulty swallowing and a history of asthma and allergies. Possible causes of dysphagia include eosinophilic esophagitis, Schatzki's ring, peptic stricture, and motility disorders. The recommended next step is an EGD, which reveals eosinophilic esophagitis. Treatment options for eosinophilic esophagitis include empiric elimination diet, elemental formula, allergy-testing directed diet therapy, proton pump inhibitors, and topical corticosteroids.<br /><br />Case 3: A 50-year-old female presents with progressive dysphagia and regurgitation of undigested food. Initial evaluation with an EGD is normal. Further evaluation with esophageal manometry reveals type III achalasia. Treatment options for achalasia include pneumatic dilation, peroral endoscopic myotomy, and laparoscopic Heller's myotomy.<br /><br />Overall, this document provides an overview of the evaluation and management of dysphagia in adult patients.

Asset Subtitle

Nirmala Gonsalves, MD

Keywords

dysphagia

cases

swallowing difficulty

eosinophilic esophagitis

Schatzki's ring

motility disorders

EGD

adenocarcinoma

asthma

achalasia