Sencer Goklemez, Lauren M

Slides:

Advertisements

Similar presentations

Use of Doppler Techniques (Continuous-Wave, Pulsed-Wave, and Color Flow Imaging) in the Noninvasive Hemodynamic Assessment of Congenital Heart Disease.

Advertisements

Clinical Pharmacology, Uses, and Adverse Reactions of Iodinated Contrast Agents: A Primer for the Non-radiologist Jeffrey J. Pasternak, MD, Eric E. Williamson,

My Treatment Approach to Hairy Cell Leukemia Rahul R. Naik, MD, Alan Saven, MD Mayo Clinic Proceedings Volume 87, Issue 1, Pages (January 2012) DOI:

Managing Cancer Pain: Basic Principles and Invasive Treatments

Ductal Carcinoma in Situ of the Breast

Kayser-Fleischer Rings in a Patient With Basal Cell Carcinoma: Fortuitous Diagnosis of Presymptomatic Wilson's Disease DAVID G. BRODLAND, M.D. Mayo.

J. Eric Ahlskog, PhD, MD Mayo Clinic Proceedings

Evaluation of Proteinuria

Crohn Disease: Epidemiology, Diagnosis, and Management

William L. Lanier, MD Mayo Clinic Proceedings

Diagnosis and Management of Chronic Kidney Disease

Shireen Mirza, MBBS, Roberto Benzo, MD Mayo Clinic Proceedings

A Comparison of Long- and Short-Acting Opioids for the Treatment of Chronic Noncancer Pain: Tailoring Therapy to Meet Patient Needs Charles E. Argoff,

Primary Esophageal Motility Disorders

Making Dysphagia Easier to Swallow

Peripheral Arterial Disease: Diagnosis and Management

Corticosteroids in the Treatment of Alcohol-Induced Rhabdomyolysis

Recent Advances in Liver Transplantation

Gestational Trophoblastic Disease

Utility of Left Ventricular Ejection Fraction Measurements Before the Administration of Doxorubicin-Based Chemotherapy in Patients With Diffuse Large.

Palliative Care and Hospice Programs

Topical Analgesics in the Management of Acute and Chronic Pain

Cardiorespiratory Fitness: An Independent and Additive Marker of Risk Stratification and Health Outcomes Barry A. Franklin, PhD, Peter A. McCullough,

The Organ Transplant Imperative

Acupuncture Mayo Clinic Proceedings

Hemolytic Uremic Syndrome Associated With Escherichia coli O157 Infection in an Allogenic Stem Cell Transplant Recipient Jesus Vera-Aguilera, MD, Narjust.

Dying in the Intensive Care Unit: A Candle Vigil Using Illustrations

Pancreatic Ductal Adenocarcinoma

Ayalew Tefferi, MD Mayo Clinic Proceedings

Should Procedures or Patients Be Safe

Magali P. Disdier Moulder, PharmD, PhD, Jenna M

The Red Scalp Sign Mayo Clinic Proceedings

MIGUEL A. VALDOVINOS, M. D. , MICHAEL CAMILLERI, M. D. , BRUCE R

Joanna Zurko, MD, Amitkumar Mehta, MD

60-Year-Old Man With Rash

Refurbishing Mayo Clinic Proceedings:

Antidepressants and Brain Neurochemistry

Gastric Signet Ring Cell Carcinoma

74-Year-Old Woman With Dyspnea on Exertion and Anemia

Aspiration Pneumonia and Related Syndromes

Primary Signet Ring Cell Carcinoma of the Prostate

Renal Pyelocalyceal Squamous Cell Carcinoma

Michel T. Corban, MD Mayo Clinic Proceedings

Osteoporosis Associated With Megestrol Acetate

Diabetic Mastopathy Mayo Clinic Proceedings

Simon M. Glynn, MD, Sean J. Pittock, MD, Steven A. Vernino, MD, PhD

Hepatocellular Carcinoma

Methylphenidate: Its Pharmacology and Uses

Pulmonary Tumor Embolism of Unknown Origin

Pancreatic Tumor in a Patient With Parathyroid and Pituitary Disease

Behram A. Khan, MD, Conrad Deel, MD, Richard N. Hellman, MD

Jamie Newman, MD, MHA, Renee E. Ziemer, BA

Medical Treatment of Overactive Bladder: In Response

Lowering the High Cost of Cancer Drugs—IV

Hassanali H. Sewani, MD, Jeffrey T. Rabatin, MD

Mantle Cell Involvement of the Spleen

Squamous Cell Carcinoma of the Tongue

Preoperative Smoking Cessation: The Role of the Primary Care Provider

Thyrotoxicosis: Diagnosis and Management

Medical Student Distress: Causes, Consequences, and Proposed Solutions

37-Year-Old Man With Painful Foot

Autonomic Tone and Benefits of Cardiac Rehabilitation Programs

Constrictive Pericarditis Due to Graft-vs-Host Disease

Guru Sonpavde, MD, Teresa G. Hayes, MD Mayo Clinic Proceedings

Clomiphene-Induced Severe Hypertriglyceridemia and Pancreatitis

Managing Cancer Pain: Basic Principles and Invasive Treatments

Esophagopericardial Fistulas

Diagnosis and Management of Headache in Older Adults

Mayo Clinic Proceedings 2012: “A New Era in Journal Stewardship”

Brugada-type Electrocardiographic Pattern Unmasked by Fever

Presentation transcript:

Achalasia in a Patient Undergoing Hematologic Stem Cell Transplant After Exposure to Tacrolimus Sencer Goklemez, Lauren M. Curtis, MD, Alao Hawwa, MD, Alexander Ling, MD, Daniele Avila, CRNP, Theo Heller, MD, Steven Z. Pavletic, MD Mayo Clinic Proceedings: Innovations, Quality & Outcomes Volume 1, Issue 2, Pages 198-201 (September 2017) DOI: 10.1016/j.mayocpiqo.2017.06.004 Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure A, Results of esophagram at day +35 after transplant, with decreased peristalsis and spasm of the lower esophageal sphincter, consistent with the diagnosis of achalasia. B, Esophagram results at day +96 after transplant, with improved tertiary peristalsis soon after changing tacrolimus to cyclosporine for graft-vs-host disease prophylaxis. C, Esophagram results at day +140 after transplant, with improved esophageal motility pattern and minimally delayed emptying of contrast medium. D, Esophagram results at day +180 after transplant, with resolution of achalasia as seen from near-normal peristalsis as well as widely patent lower esophageal sphincter. Mayo Clinic Proceedings: Innovations, Quality & Outcomes 2017 1, 198-201DOI: (10.1016/j.mayocpiqo.2017.06.004) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions