14 results
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
Choledochodudodenal Fistula on Endoscopy
Patient admitted with cholangitis, dilated CHD and IHBDs, remote cholecystectomy.  I found
Choledochodudodenal Fistula on Endoscopy ... resulting in partial CBD ... Choledochodudodenal #Fistula #Endoscopy ... #EGD #gastroenterology ... #clinical
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Algorithm • 40- ... fatigue despite clinical ... Monitor & correct B12 ... (B12, MMA) for ... fatigue despite disease
Management of Low Risk (Mild Severity) Crohns Disease 
Asymptomatic or Incidentally Discovered on Endoscopy 
 •
Severity) Crohns Disease ... Discovered on Endoscopy ... thereafter • Repeat colonoscopy ... in 6 —12 months ... LowRisk #Mild #Gastroenterology
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 ... Risks #Grading #gastroenterology ... #EGD #clinical
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
Helicobacter Pylori (H. pylori) Infection - Diagnosis and Management - GrepMed Handbook
Presentation: Dyspepsia / Peptic Ulcer
/ Peptic Ulcer Disease ... Diagnosis: • Endoscopic ... (or doxy 100mg bid ... Test or repeat EGD ... quadrupletherapy #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 ... inflammatory bowel disease ... GIBleed #management #gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
GBS, high sens. >12 ... Prokinetics dec. repeat EGD ... Infusion = 40mg IV BID ... • Start with EGD ... diagnosis #management #algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Peritoneal dialysis & colonoscopy ... cardiac devices (ICD ... congenital heart disease ... #EGD #Indications ... #Gastroenterology