9 results
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
Assess Disease Activity ... : Colonoscopy +/ ... - EGD, Small Bowel ... FCP, CRP, ESR • Active ... #gastroenterology
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Disease Management Algorithm ... Assess for Active ... Consider PEG & EEN • EGD ... Fibrin Injection • EGD ... #treatment #IBD
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Hemorrhage Ia - Active ... Risk 60-100% Ib ... - Active Oozing ... diagnosis #endoscopy #gastroenterology ... #egd
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Colonoscopy +/- ... EGD *Especially ... PTLD, GVHD or IBD ... Workup #Management #Algorithm
Venous Thromboembolism (VTE) in IBD - IBD Algorithm

 • 2-3x risk VTE vs non-IBD
 • VTE/AT
- IBD Algorithm ... risk VTE vs non-IBD ... VTE/AT risk ∝ IBD ... flare activity ... #Algorithm #gastroenterology
IBD Colonoscopy Surveillance 
LOW RISK - Follow-up Colonoscopy at 3 years:
 • Quiescent disease , Endoscopic
IBD Colonoscopy ... RISK - Follow-up Colonoscopy ... years: • Mild active ... degree relative #IBD ... Guidelines #management #gastroenterology
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Differential Diagnosis Algorithm ... pancreatitis: eg ... ranitidine, sulindac - Active ... IBID - Renal failure ... Differential #Diagnosis #Algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Peritoneal dialysis & colonoscopy ... cardiac devices (ICD ... the setting of active ... Prophylaxis #Endoscopy #EGD ... #Indications #Gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
protection/AMS/active ... Prokinetics dec. repeat EGD ... Infusion = 40mg IV BID ... • Start with EGD ... diagnosis #management #algorithm