11 results
Ulcerative Colitis - Endoscopic Assessment of Disease Activity
UCEIS Score 0, Mayo Score 0 - Normal
UCEIS Score
- Endoscopic Assessment ... of Disease Activity ... #UC #Endoscopy ... severity #diagnosis #gastroenterology ... UCEIS #scoring #ibd
Mayo UC Endoscopic Classification
 • Score = 0 (normal or inactive disease) - Normal vascular pattern
Mayo UC Endoscopic ... ulcerations #Mayo #UC #Endoscopic ... Classification #ulcerative ... #colitis #gastroenterology ... #colonoscopy
Endoscopic Findings in Active Ulcerative Colitis
 • Ulcer with spontaneous bleeding
 • Erythema
 • Mucosal scar
Endoscopic Findings ... in Active Ulcerative ... #Colitis #UC #clinical ... #gastroenterology ... #colonoscopy
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
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
IBD Patient on ... Thiopurine Assess Disease ... Activity: Colonoscopy ... ESR • Active Disease ... #gastroenterology
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
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Mild-to-Moderate Ulcerative ... Nissle • VSL#3: ↑ clinical ... dosing if liver disease ... Waseem_AhmedMD #Ulcerative ... #treatment #IBD
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
of Small Bowel Ulceration ... The diagnosis of IBD ... this requires clinical ... and endoscopic ... #differential #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

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