20 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
have concomitant IBD ... • COLITIS - PSC-IBD ... distinct from IBD ... judicious use of ERCP ... with UDCA remains common
SCAD: Segmental Colitis Associated with Diverticulosis - IBD Algorithm

SCAD: Inflammation of the inter-diverticular mucosa without involvement
Associated with ... Diverticulosis - IBD ... Algorithm SCAD ... #IBD #Algorithm ... #IBDAlgorithm #
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... syndrome, CVID (common ... immunodeficiency) • Ulcers in ... associated with ... lymphomas, others) #IBD
IBD Colonoscopy Surveillance - BSG Guidelines 2019
High Risk - 1 Year
 •  Extensive colitis AND
IBD Colonoscopy ... Stricture or dysplasia in ... last 5yrs • PSC ... affecting <50% of colon ... @drkeithsiau #IBD
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Pancreas/Distal CBD ... dilated distal CBD ... CBD(6+)(Yikes!) ... ERCP/cholecystectomy ... #BileDuct #CBD
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
between ischemic colitis ... A common misnomer ... initial treatment algorithms ... Sudden onset • Abd ... onset • Moderate abd
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 ... with galbladder in
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
) Factors associated ... insertion into the BD ... tract of the MPD & CBD ... ST upward (the BD ... #Difficult #ercp
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... patient with RUQ abd ... Labs: WBC 12.4, ... distal CBD. ... RJonesSonoEM #Dilated #CBD