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Endoscopic Surveillance and Management of Colorectal Dysplasia in Inflammatory Bowel Diseases

By Dr. Cicily Vachaparambil @CicilyVachaMD via
Surveillance and Management ... of Colorectal Dysplasia ... #Dysplasia #IBD ... #gastroenterology ... #diagnosis #management
Colorectal Dysplasia in IBD - IBD Algorithm

When / How to Screen for Dysplasia in IBD
New AGA
Colorectal Dysplasia ... to Screen for Dysplasia ... @wabillin #Colorectal ... IBD #Algorithm #Gastroenterology ... #Management
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
melena (70%), Dysphagia ... Klebsiella, pneumoniae) Management ... Necrosis #black #esophagus ... #diagnosis #management ... #gastroenterology
Dysphagia - Differential Diagnosis Framework

Symptom | Diagnosis
• Solid-food dysphagia present for months to years | Mechanical
Dysphagia - Differential ... • Solid-food dysphagia ... Extrinsic to esophagus ... #Diagnosis #Management ... #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
alarm symptoms • Dysphagia ... : • Anemia • Dysphagia ... history of Barrett esophagus ... Disease #diagnosis #management ... #Gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
is restored to esophagus ... symptoms include dysphagia ... distal third of esophagus ... Necrosis #diagnosis #management ... #gastroenterology
Colorectal Cancer screening in ulcerative colitis per new UC guidelines
- Colonoscopy is the recommended method for
Colorectal Cancer ... to assess for dysplasia ... GregoryTBrennan #Colorectal ... #PrimaryCare #Gastroenterology ... #Management #Colonoscopy
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... mucosa Stricture Management ... Endoscopes: • ESOPHAGO-GASTRO-DUODENOSCOPE ... , therapeutic, pediatric ... Aguila @enrrikke #Gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Presentation: • Dysphagia ... two-thirds of the esophagus ... Short duration of dysphagia ... Achalasia #diagnosis #management ... #treatment #gastroenterology
Adenomatous Polyposis Syndromes:  Familial Adenomatous Polyposis (FAP), Attenuated FAP (AFAP), MUTYH associated polyposis (MAP)
✓ Genetic
100 synchronous colorectal ... Microadenomas" = dysplastic ... Syndromes #diagnosis #management ... #gastroenterology