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management diagnosis classification gibleed indications achalasia antibiotic bleed deescalation esophageal esophagus fatigue gi grading imaging modalities nonvariceal peptic pepticulcer prophylaxis
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
Forrest Classification ... are without endoscopic ... Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
Bleeding peptic ulcer on endoscopy. Johnson Type III pre pyloric and Forrest IB - Cirbosque @Cirbosque #PepticUlcer #PUD #Bleeding
Bleeding peptic ... pre pyloric and Forrest ... IB - Cirbosque ... #EGD #endoscopy ... #clinical #video
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 Forrest Classification of Upper GI Bleeding Acute Hemorrhage Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... Risk 60-100% Ib ... UGIB #diagnosis #endoscopy ... #gastroenterology ... #egd
Thiopurine De-escalation and IBD - Management Algorithm IBD Patient on Thiopurine Interested in Discontinuing Thiopurine Assess Disease Activity:
Thiopurine Assess Disease ... Activity: Colonoscopy ... +/- EGD, Small ... ESR • Active Disease ... #gastroenterology
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... fatigue despite clinical ... ACD • Monitor & correct ... B12 (B12, MMA) ... fatigue despite disease
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary Pre-Endoscopic Care: • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... GBS, high sens. >12 ... Infusion = 40mg IV BID ... • Start with EGD ... diagnosis #management #algorithm
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy) Pill endoscopy • Able to
Bleed (Other than EGD ... + Colonoscopy) ... most small-bowel diseases ... bleed may obscure bleeding ... GIBleed #management #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... Peritoneal dialysis & colonoscopy ... congenital heart disease ... #EGD #Indications ... #Gastroenterology
Achalasia Summary Epidemiology: 10 cases per 100,000 individuals Defined by inadequate relaxation of the LES and aperistalsis Primary or
) Clinical Presentation ... secondary causes leading ... Three clinical features ... , or endoscopic ... management #treatment #gastroenterology
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