19 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
are without endoscopic ... Ib - Oozing Bleed ... - 50% Re-bleeding ... Risks #Grading #gastroenterology ... #EGD #clinical
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Risk 60-100% Ib ... UGIB #diagnosis #endoscopy ... #gastroenterology ... #egd
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... immuno-therapy), Ischemic ... inflammation: IBS ... lymphomas, others) #IBD ... #diagnosis #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - Differential ... Post-Polypectomy Bleeding ... Inflammatory: - Ischemic ... Colitis - IBD ... #Diagnosis #gastroenterology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... • Should be on differential ... may undergo EGD ... Sensitivity of EGD ... - If negative, EGD
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 ... Eosinophilic, CVID, Hyper IgD ... ) • Vascular: Ischaemia ... #gastroenterology
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
Bleed (Other than EGD ... double-balloon endoscopy ... bleed may obscure bleeding ... Bleed #GIBleed #management ... #gastroenterology
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
De-escalation and IBD ... IBD Patient on ... Colonoscopy +/- EGD ... , Small Bowel Imaging ... #Deescalation #IBD
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... GBS, high sens. ... Infusion = 40mg IV BID ... • Start with EGD ... #diagnosis #management