42 results
IBD Colonoscopy Surveillance - BSG Guidelines 2019
High Risk - 1 Year
 •  Extensive colitis AND
IBD Colonoscopy ... relative with CRC ... @drkeithsiau #IBD ... #Colonoscopy #Surveillance ... #management
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
months +/- AFP CRC ... - IBD - Colonoscopy ... Annual surveillance colonoscopy ... Gastroenterology #Management
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
diarrhea) • FCP, CRP ... , Colonoscopy • ... Observation (FCP/CRP ... #Ulcerative #Colitis ... Refractory #Treatment #Management
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
Colonoscopy Followup ... years: Normal colonoscopy ... dysplasia, Traditional serrated ... SSPs: Sessile serrated ... gastroenterology #guidelines #management
IBD Colonoscopy Surveillance 
LOW RISK - Follow-up Colonoscopy at 3 years:
 • Quiescent disease , Endoscopic
IBD Colonoscopy ... risk factors for CRC ... Risk factors for CRC ... degree relative #IBD ... #Guidelines #management
Algorithm for Diagnosis and Management of Ischemic Colitis
Severe if any of following:
 • >3 Risk Factors
Diagnosis and Management ... of Ischemic Colitis ... with eventual colonoscopy ... #Ischemic #Colitis ... Algorithm #Diagnosis #Management
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Inflammatory: Ischemic colitis ... , Infectious colitis ... , UC/Chrons (IBD ... , Radiation CMC
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Severe Ulcerative Colitis ... - Management Algorithm ... Flex Sig, FCP, CRP ... #UC #Management ... #Algorithm #IBD
Colorectal Cancer Screening and Polyp Surveillance Intervals
Colon Cancer Screening - Modality - Interval:
 • Colonoscopy -
- Interval: • Colonoscopy ... Adenomatous Polyps • Serrated ... Surveillance #Intervals #management
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
- Management Algorithm ... IBD Patient on ... Disease Activity: Colonoscopy ... Imaging/VCE, FCP, CRP ... #algorithm #management