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management diagnosis gibleed classification evaluation forrest indications summary treatment achalasia antibiotic bleed cardiology cardiomyopathy cholangitis coronavirus covid19 crohns deescalation esophageal
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
Rebleeding risks ... are without endoscopic ... Ib - Oozing Bleed ... #gastroenterology ... #EGD #clinical
Forrest Classification of Upper GI Bleeding Acute Hemorrhage Ia - Active Spurting, Re-bleeding Risk 60-100%
Ib - Active Oozing ... , Re-bleeding Risk ... 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
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary Pre-Endoscopic Care: • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... GBS, high sens. >12 ... inc. risk for poor ... Infusion = 40mg IV BID ... diagnosis #management #algorithm
Management of Low Risk (Mild Severity) Crohns Disease Asymptomatic or Incidentally Discovered on Endoscopy •
Management of Low Risk ... Discovered on Endoscopy ... thereafter • Repeat colonoscopy ... in 6 —12 months ... LowRisk #Mild #Gastroenterology
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... fatigue despite clinical ... remission • Risk ... (B12, MMA) for ... fatigue despite disease
IBD Colonoscopy Surveillance LOW RISK - Follow-up Colonoscopy at 3 years: • Quiescent disease , Endoscopic
IBD Colonoscopy ... : • Quiescent disease ... , Endoscopic and ... degree relative #IBD ... Guidelines #management #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... infection and high risk ... 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 ... COLITIS - PSC-IBD ... are at increased risk ... remain subject to clinical
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