13 results
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
Thiopurine Assess Disease ... Activity: Colonoscopy ... ESR • Active Disease ... #gastroenterology ... #indications
Management of interstitial lung disease (ILD)-associated with systemic sclerosis (SSc)

Therapeutic indication: absolute decline in FVC >10%
interstitial lung disease ... Therapeutic indication ... mmHg) over the 12 ... SSc #pulmonary #indications ... management #treatment #algorithm
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
- Diagnosis Algorithm ... Autoimmune • CVID • Medications ... Inflammatory (IBD ... #Diagnosis #Algorithm ... #gastroenterology
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
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
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 • Refractory
 • Failed multiple
Therapy (DTT) in IBD ... - IBD Algorithm ... Indication for ... Severe/Extensive Disease ... #Algorithm #gastroenterology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... intrinsic factor, IF) Clinical ... papillae of tongue), abd ... diarrhea related to IBD ... , celiac disease
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
Strategies to Improve Quality of Screening and Surveillance Colonoscopy - AGA Guidelines

1. Adequate bowel preparation.
2. Use
2mm in size. 12 ... have malignant endoscopic ... should go for endoscopic ... including procedure indication ... Guidelines #management #gastroenterology