19 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 ... wabillin #PSC #IBD ... #Algorithm #IBDAlgorithm
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
Primary sclerosing cholangitis ... or MRCP & CA 19 ... cirrhosis) - US ... /- AFP CRC - IBD ... Primary #sclerosing #cholangitis
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... Very strong - CBD ... Clinical Ascending cholangitis ... Strong - Dilated CBD
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... Adult male-RUQ abd ... MRCP performed. ... or CBD that is ... Syndrome #Liver #POCUS
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
Primary Sclerosing Cholangitis ... • CHOLANGITIS ... COLITIS - PSC-IBD ... judicious use of ERCP ... Primary #Sclerosing #Cholangitis
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... ) • Imaging: US ... low-fat (as safe as CLD ... Gallstones: Urgent ERCP ... (w/in 24h) if cholangitis
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
) in IBD - IBD Algorithm ... IUS Pros (+) ... #IBD #Algorithm ... #IBDAlgorithm # ... POCUS #gastroenterology
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Common Bile Duct on POCUS ... dilated distal CBD ... ERCP/cholecystectomy ... pancreatitis or cholangitis ... #POCUS #clinical
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
(SBC) Factors associated ... be too large, associated ... further cannulation is ... tract of the MPD & CBD ... SBC #Difficult #ercp
Functional GI Disorders in IBD - IBD Algorithm

Background:
 • 25-40% of IBD in remission have IBS
- IBD Algorithm ... remission have IBS ... Gastrointestinal #Disorders #IBS ... #IBDAlgorithm # ... IBD #Algorithm #