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

Therapeutic indication: absolute decline in FVC >10%
Management of interstitial ... lung disease (ILD ... Therapeutic indication ... mmHg) over the 12 ... #algorithm
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Algorithm • 40- ... fatigue despite clinical ... (B12, MMA) for ... fatigue despite disease ... #management
Management of Low Risk (Mild Severity) Crohns Disease 
Asymptomatic or Incidentally Discovered on Endoscopy 
 •
Management of Low ... Discovered on Endoscopy ... thereafter • Repeat colonoscopy ... in 6 —12 months ... #Mild #Gastroenterology
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 • Refractory
 • Failed multiple
- IBD Algorithm ... Indication for ... Severe/Extensive Disease ... #Algorithm #gastroenterology ... #management
IBD Colonoscopy Surveillance 
LOW RISK - Follow-up Colonoscopy at 3 years:
 • Quiescent disease , Endoscopic
IBD Colonoscopy ... : • Quiescent disease ... , Endoscopic and ... #Guidelines #management ... #gastroenterology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... intrinsic factor, IF) Clinical ... diarrhea related to IBD ... , celiac disease ... Deficiency #diagnosis #management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Peritoneal dialysis & colonoscopy ... congenital heart disease ... #EGD #Indications ... #Gastroenterology ... #Management
Strategies to Improve Quality of Screening and Surveillance Colonoscopy - AGA Guidelines

1. Adequate bowel preparation.
2. Use
2mm in size. 12 ... have malignant endoscopic ... including procedure indication ... AGA #Guidelines #management ... #gastroenterology
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 ... the type of and indication ... medical and surgical management