13 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
forceps biopsy (EGD ... endoscopy - EUS ... enteroscopy - ERCP ... resection - ERCP ... Gastroenterology #EGD
Liver Flukes on ERCP
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
Liver Flukes on ERCP ... bile duct during ERCP ... cysts hatch in the duodenum ... Liver #Flukes #ERCP ... parasites #clinical #EGD
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Differential Diagnosis Algorithm ... Obtain RUQ US to ... MRCP, ERCP, liver ... Differential #Diagnosis #Algorithm
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... in the Duodenum ... Slippage at UES ... take time at LES/UES ... Removal #Endoscopy #egd
Duodenal knuckle perforation from prolonged ERCP

Andy Tau, MD @DrBloodandGuts

#Duodenal #knuckle #perforation #endoscopy #clinical #egd #gastroenterology
Duodenal knuckle ... from prolonged ERCP ... DrBloodandGuts #Duodenal ... endoscopy #clinical #egd
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
bile duct during ERCP ... cysts hatch in the duodenum ... Liver #Flukes #ERCP ... parasites #clinical #EGD
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
• ESOPHAGEAL/ DUODENAL ... palliative treatment ERCP ... instruments in ERCP ... #accessories #EGD ... #ercp
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Paracentesis, EGD ... balloon enteroscopy, ERCP ... dilation or stent, EUS ... polypectomy, EMR or ESD ... tumor ablation, ERCP
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Differential Diagnosis Algorithm ... pancreatitis: eg ... fibrosis - Post ERCP ... Differential #Diagnosis #Algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
bleeding - EUS-FNA ... without cholangitis: ERCP ... transplant getting ERCP ... prosthesis - EUS-FNA ... Prophylaxis #Endoscopy #EGD