Women Teaching Women: Retooling Your Clinical Toolbox

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Pdf Summary

This document provides an overview of various esophageal disorders and their diagnostic considerations and management. The focus is on the components of a high-quality endoscopic examination of the esophagus. The document discusses the diagnostic considerations for Barrett's esophagus, esophageal strictures, eosinophilic esophagitis (EoE), and motility disorders. It also briefly discusses the management considerations for these disorders.<br /><br />The document provides guidance on history-taking for dysphagia, including assessing the character and associated symptoms. It also discusses the importance of evaluating the five S's (swallowing, food getting stuck, slow passage, stacking, and vomiting) to elicit dysphagia symptoms. The impact of dysphagia on daily life is highlighted as well.<br /><br />The document further presents assessment tools and tips for evaluating esophageal landmarks, such as the squamocolumnar junction and the lower esophageal sphincter. It also discusses the assessment of esophageal strictures, including the shape, caliber, and prognosis of simple and complex strictures. Various methods for dilation and imaging techniques for evaluating strictures are mentioned.<br /><br />The document emphasizes the importance of a high-quality endoscopic examination, including the use of high-resolution endoscopes and techniques such as irrigation and mucolytics. It also emphasizes the need to recognize and target visible lesions, characterize them using classification systems, and consider additional tissue acquisition techniques.<br /><br />The document provides insights into the diagnosis and management of esophageal disorders, including Barrett's esophagus and EoE. It discusses the importance of biopsy sampling for EoE diagnosis and the various treatment options for Barrett's esophagus, including endoscopic resection and ablation. It also highlights the significance of confirming dysplasia with expert GI pathologists and suggests management strategies based on the level of dysplasia.<br /><br />Overall, this document offers a comprehensive overview of the diagnostic considerations and management strategies for various esophageal disorders.

Keywords

esophageal disorders

diagnostic considerations

management

high-quality endoscopic examination

Barrett's esophagus

esophageal strictures

eosinophilic esophagitis

motility disorders

dysphagia

assessment tools