8 results
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
Activity: Colonoscopy ... +/- EGD, Small ... ESR • Active Disease ... #gastroenterology ... #indications
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
are without endoscopic ... Ib - Oozing Bleed ... - 50% Re-bleeding ... Risks #Grading #gastroenterology ... #EGD #clinical
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
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
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
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
ducts, commonly leading ... have concomitant IBD ... there are many indications ... COLITIS - PSC-IBD ... remain subject to clinical
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Change in clinical ... risk (<1%): - Endoscopic ... - what is the bleeding ... the type of and indication
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
) Clinical Presentation ... sphincter to relax EGD ... secondary causes leading ... Three clinical features ... management #treatment #gastroenterology