9 results
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Esophageal Crohn's ... Assess for Active ... Consider PEG & EEN • EGD ... Fibrin Injection • EGD ... #treatment #IBD
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
Management of Low Risk (Mild Severity) Crohns Disease 
Asymptomatic or Incidentally Discovered on Endoscopy 
 •
Mild Severity) Crohns ... Discovered on Endoscopy ... thereafter • Repeat colonoscopy ... Mild Disease Activity ... LowRisk #Mild #Gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Risk 60-100% Ib ... - Active Oozing ... UGIB #diagnosis #endoscopy ... #gastroenterology ... #egd
IBD Colonoscopy Surveillance 
LOW RISK - Follow-up Colonoscopy at 3 years:
 • Quiescent disease , Endoscopic
IBD Colonoscopy ... Quiescent disease , Endoscopic ... years: • Mild active ... degree relative #IBD ... Guidelines #management #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
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Peritoneal dialysis & colonoscopy ... cardiac devices (ICD ... the setting of active ... #EGD #Indications ... #Gastroenterology
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
The diagnosis of IBD ... requires clinical and endoscopic ... • Enteritis: Crohn's ... Eosinophilic, CVID, Hyper IgD ... #differential #gastroenterology
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Endoscopy ( ... Sig or Colon +EGD ... urgent • Imaging: Cross-sectional ... diagnosis #management #algorithm ... #IBD