11 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
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
months +/- AFP CRC ... - IBD - Colonoscopy ... Annual surveillance colonoscopy ... PSC #Malignancy #Cancer ... #Surveillance #Gastroenterology
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... Salmonella • Colon ... Behcet's disease • Colon ... bowel syndrome), Cancer ... differential #diagnosis #gastroenterology
Ischemic Colitis on Colonoscopy
35yo male, PR bleeding, mucoid stool, tennesmus, abdominal cramping pain, low grade fever,
Ischemic Colitis ... on Colonoscopy ... 35yo male, PR bleeding ... ulcer, remaining colon ... #gastroenterology
Colorectal Cancer screening in ulcerative colitis per new UC guidelines
- Colonoscopy is the recommended method for
Colorectal Cancer ... in ulcerative colitis ... #Colorectal #Cancer ... #CRC #Colon #Screening ... #PrimaryCare #Gastroenterology
Stoma Indications, Output and Complications

Stoma Types:
 • End ileostomy
 • Loop ileostomy
 • End colostomy
 •
dermatitis • Color ... keratosis (warty), cancer ... Infection • Bleeding ... • Ileus • Evisceration ... Complications #diagnosis #gastroenterology
Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
 • FIT: 79% sensitivity, 94% specificity for CRC
for Colorectal Cancer ... visualization: • Colonoscopy ... lesions or SSLs • Colon ... #Colorectal #Cancer ... #colon #Screening
ACA Colorectal Cancer Screening Guidelines

When to Screen?
When to Stop?
Family History

Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based
ACA Colorectal Cancer ... visualization: • Colonoscopy ... lesions or SSLs • Colon ... #colon #Screening ... table #management #gastroenterology
Hamartomatous Polyposis Syndromes - Peutz-Jeghers Syndrome (PJS), Juvenile Polyposis Syndrome (JPS), Cowden Syndrome (CS), Cronkhite-Canada (CC),
Hamartomas + GI Cancer ... 2 large polyps bleeding ... → Adenoma and cancer ... 2 large polyps bleeding ... diagnosis #management #gastroenterology
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Angiodysplasia (colon ... • Occult UGI bleeding ... , asymptomatic IBD ... Overt Bleeding ... bleed, • Acute colitis