30 results
Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Gastroesophageal Reflux Disease ... Issues Diagnosis Algorithm ... Refractory GERD ... Diagnosis #Management #Treatment ... #Algorithm #Gastroenterology
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Perianal Crohn's Disease ... - IBD Algorithm ... manifestation in 10% • refractory ... #gastroenterology ... #management #treatment
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Refractory Eosinophilic ... ) Management Algorithm ... #EoE #Refractory ... Esophagitis #Management #Algorithm ... #gastroenterology
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Esophageal Crohn's Disease ... Management Algorithm ... Stricturing/Fistulizing Disease ... Mitomycin C • Refractory ... #treatment #IBD
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
- Diagnosis Algorithm ... Celiac disease ... unresponsive to treatment ... #Diagnosis #Algorithm ... #gastroenterology
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
Drug Adherence • Disease ... Escalate Treatment ... JAK Inhibitor Algorithm ... Persistent #5ASA #Refractory ... #Algorithm
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
: Inflammatory eye ... Positive pathergy test ... is a skin prick test ... Arthritis, AS Treatment ... azathioprine • Severe or refractory
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... In short, best outcomes ... continues, the more refractory ... #Epilepticus #Refractory ... #Seizures #Algorithm
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease
Mild:
 • Trial of PPI
 • Trial
Gastroenteritis: Treatment ... Severity of the Disease ... as CT scan #EoE ... Gastroenteritis #Treatment ... #management #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
cultures, but test ... Rule out celiac disease ... inflammatory bowel disease ... Disorder &/or Refractory ... Balloon Expulsion Test