10 results
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
in a 20F with cholangitis ... lining of the intestine ... migrate through the intestines ... parasites #clinical #EGD ... #endoscopy
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
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on Endoscopy ... bile duct during ERCP ... in a 20F with cholangitis ... Liver #Flukes #ERCP ... parasites #clinical #EGD
Choledochodudodenal Fistula on Endoscopy
Patient admitted with cholangitis, dilated CHD and IHBDs, remote cholecystectomy.  I found
Choledochodudodenal Fistula on Endoscopy ... admitted with cholangitis ... resulting in partial CBD ... The patient cholangitis ... #EGD #gastroenterology
Intestinal Manifestations of HIV, IBD in HIV - IBD Algorithm

HIV + IBD Background
HIV + IBD Treatment
Intestinal
Intestinal Manifestations ... HIV - IBD Algorithm ... Intestinal TB ... #HIV #IBD #Algorithm ... gastroenterology #IBDAlgorithm
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
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
Primary Sclerosing Cholangitis ... progression to end-stage ... • CHOLANGITIS ... judicious use of ERCP ... , and end-stage
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... obstruction without cholangitis ... obstruction without cholangitis ... #Prophylaxis #Endoscopy ... #EGD #Indications
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... (IUS) in IBD - ... IBD Algorithm ... @wabillin #Intestinal ... #Algorithm #IBDAlgorithm
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Consult GI • Labs: CBC ... • Endoscopy ( ... Sig or Colon +EGD ... diagnosis #management #algorithm ... #IBD