10 results
Primary Sclerosing Cholangitis (PSC) and IBD - IBD Algorithm

Dr. Wade Billings @wabillin

#PSC #IBD #Algorithm #IBDAlgorithm #gastroenterology
Primary Sclerosing Cholangitis ... (PSC) and IBD - ... IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm #
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
to multi-focal biliary ... have concomitant IBD ... • COLITIS - PSC-IBD ... distinct from IBD ... judicious use of ERCP
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 ... #Management #Algorithm
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
Primary sclerosing cholangitis ... (PSC) - Malignancy ... - Annual US or MRCP ... /- AFP CRC - IBD ... Gastroenterology #Management
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Crohn's Disease - IBD ... risk if colonic CD ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... , PSC, Alcoholic ... Ducts - CBD ... stone, Biliary ... stricture, PSC,
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Schema for the Management ... Cholangitis (PBC ... Recirculating System; CBD ... #Cholangitis #PBC ... #Algorithm
Asymptomatic Ileitis - IBD Algorithm

 • Found on 0.1-21% of non-diagnostic colonoscopies
 • Low likelihood of
Asymptomatic Ileitis - IBD ... of representing CD ... progresses to CD ... #IBD #Algorithm ... gastroenterology #management
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
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
insertion into the BD ... tract of the MPD & CBD ... ST upward (the BD ... SBC #Difficult #ercp ... gastroenterology #management