10 results
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
CAMs (curcumin, probiotic ... Escalate Treatment ... Colitis Escalate Treatment ... UC #Persistent #5ASA ... #Refractory #Treatment
Management of Medically Refractory Gastroparesis

Gastroparesis Pathophysiology
Initial Evaluation
Management
Medications for Medically Refractory Gastroparesis
Gastric Electrical Stimulation
Pylorus Directed Therapies

Dr. Chaitanya
Management of Medically Refractory ... for Medically Refractory ... Gastroparesis #Refractory ... #Management #Treatment ... #Gastroenterology
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
Diagnosis Algorithm Refractory ... Diagnosis #Management #Treatment ... #Algorithm #Gastroenterology
Perianal Crohn's Disease - IBD Algorithm

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

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Incomplete/relief/treatment ... Esophageal manometry • Refractory ... Nonpharmacologic Treatment ... of bed GERD Treatment ... diagnosis #management #Gastroenterology
Acute Pouchitis - Management Algorithm
Ciprofloxacin 500 mg/12 h or metronidazole 20 mg/kg/d x 2 weeks
 -
Response (Chronic Refractory ... Management #Algorithm #treatment ... #IBD #gastroenterology ... #Refractory
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Arthritis, AS Treatment ... azathioprine • Severe or refractory ... Glucocorticoids 5-ASA
Refractory Helicobacter Pylori Infection

Causes:
 • Antibiotic resistance (i.e. prior antibiotic exposure to levofloxacin)
 • Non-adherence (i.e.
Refractory Helicobacter ... leads to more treatment ... EmoryGastroHep #Refractory ... management #algorithm #gastroenterology
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
primary Tx modality Refractory ... and PR + PO 5-ASA ... prolapse, CD, cancer Treatment