9 results
IBD Colonoscopy Surveillance - BSG Guidelines 2019
High Risk - 1 Year
 •  Extensive colitis AND
IBD Colonoscopy ... relative with CRC ... affecting <50% of colon ... @drkeithsiau #IBD ... #Colonoscopy #Surveillance
IBD Colonoscopy Surveillance 
LOW RISK - Follow-up Colonoscopy at 3 years:
 • Quiescent disease , Endoscopic
IBD Colonoscopy ... risk factors for CRC ... • Inflammatory polyps ... Risk factors for CRC ... degree relative #IBD
Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
 • FIT: 79% sensitivity, 94% specificity for CRC
visualization: • Colonoscopy ... lesions or SSLs • Colon ... specificity for polyps ... Colorectal #Cancer #colon ... Tests #comparison #table
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Diverticular, Cancer, Polyps ... colitis, UC/Chrons (IBD ... , Radiation CMC ... diagnosis #Causes #algorithm
ACA Colorectal Cancer Screening Guidelines

When to Screen?
When to Stop?
Family History

Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based
visualization: • Colonoscopy ... lesions or SSLs • Colon ... specificity for polyps ... Colorectal #Cancer #colon ... Tests #comparison #table
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
De-escalation and IBD ... - Management Algorithm ... IBD Patient on ... Disease Activity: Colonoscopy ... Imaging/VCE, FCP, CRP
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Bowel Syndrome (IBS ... risk • Routine colonoscopy ... things" → fewer polyps ... in IBS vs non-IBS ... lactoferrin + CRP
Crohn's Disease & New Diagnosis of Colon Cancer Algorithm
 - Define Colonic Disease Extent, Activity &
New Diagnosis of Colon ... Cancer Algorithm ... 39% of pts with CRC ... #Cancer #algorithm ... management #treatment #ibd
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Consult GI • Labs: CBC ... CMP, TSH, ESR, CRP ... Endoscopy (Flex Sig or Colon ... diagnosis #management #algorithm ... #IBD