9 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
Functional GI Disorders in IBD - IBD Algorithm

Background:
 • 25-40% of IBD in remission have IBS
- IBD Algorithm ... remission have IBS ... #IBDAlgorithm # ... IBD #Algorithm # ... gastroenterology #management
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... (IUS) in IBD - ... IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm #
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
Primary sclerosing cholangitis ... or MRCP & CA 19 ... /- AFP CRC - IBD ... Primary #sclerosing #cholangitis ... Gastroenterology #Management
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
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 ... #diagnosis #management
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
) • Imaging: US ... low-fat (as safe as CLD ... (w/in 24h) if cholangitis ... , consider ERCP ... gemfibrozil 600 bid
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
obstruction without cholangitis ... cardiac devices (ICD ... obstruction without cholangitis ... Prophylaxis #Endoscopy #EGD ... Gastroenterology #Management
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Algorithm in Transplant ... Adjust IS medications ... Colonoscopy +/- EGD ... PTLD, GVHD or IBD