13 results
Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Gastroesophageal Reflux Disease ... Refractory GERD ... Surgical and Endoscopic ... Diagnosis #Management #Treatment ... #Algorithm #Gastroenterology
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Perianal Crohn's Disease ... - IBD Algorithm ... manifestation in 10% • refractory ... #gastroenterology ... #management #treatment
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Management Algorithm ... Mitomycin C • Refractory ... Consider PEG & EEN • EGD ... Fibrin Injection • EGD ... #treatment #IBD
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
Drug Adherence • Disease ... ) • FCP, CRP, Colonoscopy ... JAK Inhibitor Algorithm ... Persistent #5ASA #Refractory ... #Algorithm
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... of colonoscope ... for palliative treatment ... Aguila @enrrikke #Gastroenterology ... #EGD #colonoscopy
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
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux Disease ... Incomplete/relief/treatment ... Esophageal manometry • Refractory ... Gastroesophageal #Reflux #Disease ... diagnosis #management #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
Acute Pouchitis - Management Algorithm
Ciprofloxacin 500 mg/12 h or metronidazole 20 mg/kg/d x 2 weeks
 -
Pouchitis - Management Algorithm ... Ciprofloxacin 500 mg/12 ... #treatment #IBD ... #gastroenterology ... #Refractory
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 ... #management #gastroenterology