10 results
Bleeding peptic ulcer on endoscopy.
Johnson Type III pre pyloric and Forrest IB

- Cirbosque @Cirbosque

#PepticUlcer #PUD #Bleeding
peptic ulcer on endoscopy ... pre pyloric and Forrest ... IB - Cirbosque ... PUD #Bleeding #EGD ... #endoscopy #clinical
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
risks are without endoscopic ... 100% Re-bleeding Ib ... Re-bleeding IIc - Flat Spot ... Risks #Grading #gastroenterology ... #EGD #clinical
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Risk 60-100% Ib ... 30% IIc - Flat Spot ... UGIB #diagnosis #endoscopy ... #gastroenterology ... #egd
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
Forrest Classification ... for Describing Endoscopic ... Clear liquid  Ib ... Flat pigmented spot ... #EGD #Risk #Rebleeding
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 ... #Deescalation #IBD ... #gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
GBS, high sens. ... Prokinetics dec. repeat EGD ... Infusion = 40mg IV BID ... • Start with EGD ... diagnosis #management #algorithm
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 ... #differential #gastroenterology
Ulcerative Colitis Endoscopic Index of Severity - UCEIS
Vascular pattern
   0 = normal - Normal
Ulcerative Colitis Endoscopic ... 1 = mucosal - Spots ... #Colitis #UC #Endoscopy ... severity #diagnosis #gastroenterology ... #scoring #ibd
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
sphincter to relax EGD ... pseudoachalasia: • Short ... evaluated with CT, endoscopy ... , or endoscopic ... management #treatment #gastroenterology
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Endoscopy ( ... Sig or Colon +EGD ... diagnosis #management #algorithm ... #IBD