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gastroenterology management clinical endoscopic guidelines uc ulcerative ibd ischemic surveillance 5asa aga algorithm antibiotic bsg chronic classification coli colon crc
Mayo UC Endoscopic Classification • Score = 0 (normal or inactive disease) - Normal vascular pattern
Mayo UC Endoscopic ... = 0 (normal or inactive ... ulcerations #Mayo #UC #Endoscopic ... Classification #ulcerative #colitis ... gastroenterology #colonoscopy
Endoscopic Findings in Active Ulcerative Colitis • Ulcer with spontaneous bleeding • Erythema • Mucosal scar
Endoscopic Findings ... in Active Ulcerative ... Colitis • Ulcer ... #Findings #Active ... gastroenterology #colonoscopy
IBD Colonoscopy Surveillance - BSG Guidelines 2019 High Risk - 1 Year • Extensive colitis AND
IBD Colonoscopy ... • Extensive colitis ... • Extensive colitis ... AND: • Inactive ... drkeithsiau #IBD #Colonoscopy
Melanosis coli on Colonoscopy - Benign finding on colonoscopy - Ask about senna (anthranoid) use
Melanosis coli on ... Colonoscopy - ... - Lipofuscin pigment ... , ↑ adenomas #Melanosis ... #coli #Colonoscopy
Persistent UC Symptoms Despite 5-ASA Therapies • Assess for Drug Adherence • Disease Activity Assessment (bloody
diarrhea correlates w active ... ) • FCP, CRP, Colonoscopy ... Infection, Cdiff Mild Colitis ... Treatment Mod/Severe Colitis ... #Ulcerative #Colitis
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
intolerance suspected, Colonoscopy ... performed, may show melanosis ... fat/day diet), Endoscopy ... EGD +/- ERCP +/- colonoscopy ... Inflammatory: • Colonoscopy
Ischemic Colitis on Colonoscopy 35yo male, PR bleeding, mucoid stool, tennesmus, abdominal cramping pain, low grade fever,
Ischemic Colitis ... on Colonoscopy ... with Ischemic Colitis ... #Ischemic #Colitis ... #Colonoscopy #endoscopy
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 Ischemic Colitis on Colonoscopy 80 F with Afib with acute abdominal pain and syncope. Ischemic colitis (full thickness)
Ischemic Colitis ... on Colonoscopy ... Ischemic colitis ... After manual/endoscopic ... #Colonoscopy #clinical
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 IBD Colonoscopy Surveillance LOW RISK - Follow-up Colonoscopy at 3 years: • Quiescent disease , Endoscopic
IBD Colonoscopy ... RISK - Follow-up Colonoscopy ... Quiescent disease , Endoscopic ... RISK - Follow-up Colonoscopy ... years: • Mild active
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Peritoneal dialysis & colonoscopy ... the setting of active ... #Prophylaxis #Endoscopy
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