Video Tip: Approach to Dysphagia: Chicago Classification 4.0 | March 2023-Approach to Dysphagia Chicago Classification 4.0

Approach to Dysphagia Chicago Classification 4.0

Video Transcription

Video Summary

This video tip, sponsored by an educational grant from Braintree, discusses how to diagnose and treat obstructed esophagus conditions. The speaker advises ruling out mechanical obstruction and performing manometry to determine the subtype of achalasia. They highlight some caveats, such as considering pseudo-achalasia with a short history and weight loss, and opioid-induced motor dysmotility with opiate use. Treatment options for obstructive motor element include pneumatic dilation, myotomy, or tailored POM. In poor surgical risk patients, Botox or Sildenafil may be considered. The video emphasizes using adjunctive tests like barium and FLIP to determine EGJ function disorders and rule out obstruction before treating esophageal body abnormalities.

Keywords

diagnose and treat obstructed esophagus conditions

mechanical obstruction

achalasia subtype

pseudo-achalasia

opiate-induced motor dysmotility