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 ... algorithm #management #gastroenterology
Ulcerative Colitis - Endoscopic Assessment of Disease Activity
UCEIS Score 0, Mayo Score 0 - Normal
UCEIS Score
Ulcerative Colitis ... Assessment of Disease Activity ... #Ulcerative #Colitis ... severity #diagnosis #gastroenterology ... UCEIS #scoring #ibd
Ulcerative Colitis Activity Index

Remission - Mild - Moderate - Severe - Fulminant
Stools/day
Urgency
Hemoglobin
ESR
CRP
Fecal Calprotectin
Endoscopy (Mayo subscore)
UCEIS

@MondayNightIBD

#Ulcerative #Colitis
Ulcerative Colitis ... Activity Index ... #Activity #Index ... #diagnosis #gastroenterology ... #IBD
Endoscopic Findings in Active Ulcerative Colitis
 • Ulcer with spontaneous bleeding
 • Erythema
 • Mucosal scar
Endoscopic Findings in Active ... Ulcerative Colitis ... #Ulcerative #Colitis ... #UC #clinical #gastroenterology ... #colonoscopy
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
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
pancreatitis: eg ... ranitidine, sulindac - Active ... IBID - Renal failure ... disease, ulcerative colitis
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
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
progression to end-stage ... have concomitant IBD ... with persistently active ... • COLITIS - PSC-IBD ... distinct from IBD
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