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Primary Sclerosing Cholangitis (PSC) and IBD - IBD Algorithm

Dr. Wade Billings @wabillin

#PSC #IBD #Algorithm #IBDAlgorithm #gastroenterology
Primary Sclerosing ... Cholangitis (PSC ... ) and IBD - IBD ... wabillin #PSC #IBD ... #Algorithm #IBDAlgorithm
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Very strong - CBD ... Clinical Ascending cholangitis ... Strong - Dilated CBD ... Choledocholithiasis #Biliary
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Cannulation (SBC ... insertion into the BD ... tract of the MPD & CBD ... ST upward (the BD ... #Difficult #ercp
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
The 6 C’s of Primary ... have concomitant IBD ... COLITIS - PSC-IBD ... distinct from IBD ... judicious use of ERCP
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
of Pruritus in Primary ... Biliary Cholangitis ... Recirculating System; CBD ... #Biliary #Cholangitis ... Management #Hepatology #Algorithm
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
• Imaging: US (biliary ... (necrosis, biliary ... low-fat (as safe as CLD ... (w/in 24h) if cholangitis ... gemfibrozil 600 bid