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management diagnosis antibiotic cobalamin deescalation deficiency egd nutrition prophylaxis thiopurine vitamin
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... Algorithm • 40- ... despite clinical ... despite disease ... #IBD #Algorithm
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
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... intrinsic factor, IF) Clinical ... slowing, neuropathy, fatigue ... 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
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