14 results
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
- Management Algorithm ... Disease Activity: Colonoscopy ... +/- EGD, Small Bowel ... #gastroenterology ... #indications
Ischemic Colitis on Colonoscopy
35yo male, PR bleeding, mucoid stool, tennesmus, abdominal cramping pain, low grade fever,
Ischemic Colitis ... on Colonoscopy ... Fwl Tan #Ischemic ... #endoscopy #gastroenterology ... #clinical
Endoscopic Surveillance and Management of Colorectal Dysplasia in Inflammatory Bowel Diseases

By Dr. Cicily Vachaparambil @CicilyVachaMD via
Endoscopic Surveillance ... and Management ... in Inflammatory Bowel ... Colorectal #Dysplasia #IBD ... #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
Other than EGD + Colonoscopy ... ) Pill endoscopy ... double-balloon endoscopy ... Bleed #GIBleed #management ... #gastroenterology
IBD Colonoscopy Surveillance 
LOW RISK - Follow-up Colonoscopy at 3 years:
 • Quiescent disease , Endoscopic
IBD Colonoscopy ... Quiescent disease , Endoscopic ... degree relative #IBD ... #Guidelines #management ... #gastroenterology
Ischemic Colitis on Colonoscopy
80 F with Afib with acute abdominal pain and syncope.
Ischemic colitis (full thickness)
on Colonoscopy ... After manual/endoscopic ... #Colitis #Colonoscopy ... #clinical #colon ... #gastroenterology
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
The diagnosis of IBD ... this requires clinical ... and endoscopic ... ) • Vascular: Ischaemia ... #differential #gastroenterology
Strategies to Improve Quality of Screening and Surveillance Colonoscopy - AGA Guidelines

1. Adequate bowel preparation.
2. Use
have malignant endoscopic ... should go for endoscopic ... including procedure indication ... AGA #Guidelines #management ... #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Peritoneal dialysis & colonoscopy ... cardiac devices (ICD ... #EGD #Indications ... #Gastroenterology ... #Management
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... intrinsic factor, IF) Clinical ... hypoxia and organ ischemia ... diarrhea related to IBD ... Deficiency #diagnosis #management