8 results
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
High risk of injury ... UES - sharp pull=injury ... Nail #Removal #Endoscopy ... #gastroenterology ... retrieval #clinical #foreignbody
Timing of Endoscopy for Ingested Foreign Bodies
 - Emergent endoscopy
 - Urgent endoscopy
 - Nonurgent endoscopy

#Timing
Timing of Endoscopy ... #indications #Ingested ... ForeignBodies #foreignbody ... #gastroenterology ... #management
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
De-escalation and IBD - Management ... Colonoscopy +/- EGD ... Remission > 12mo - Indication ... #management #gastroenterology ... #indications
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
in SBP > 40 - End-organ ... Failure, Toxins/Medications ... , Spinal Cord Injury ... #criticalcare #algorithm ... #treatment #management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... #Prophylaxis #Endoscopy ... #EGD #Indications ... #Gastroenterology ... #Management
Endoscopic Submucosal Dissection (ESD) - Polyp Resection Techniques

Technique:
 • The polyp is then lifted by submucosal
Endoscopic Submucosal ... Indications: • ... @enrrikke #Endoscopic ... Polyp #Resection #Management ... #gastroenterology
Hot Endoscopic Mucosal Resection (EMR) - Polyp Resection Techniques

Technique:
The polyp is initially lifted by submucosal iniection
Hot Endoscopic Mucosal ... Indications: • ... of deep muscle injury ... Resection #EMR #Polyp #Management ... #gastroenterology
Endoscopic Full-Thickness Resection (EFTR) - Polyp Resection Techniques
Technique:
 • Planned resection margins marked thermally. The full-thickness
Endoscopic Full-Thickness ... Indications: • ... suctioned, to avoid injury ... Polyp #Resection #Management ... #gastroenterology