27 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
Reflux Disease ... Refractory GERD ... #Reflux #Disease ... Diagnosis #Management #Treatment ... #Algorithm #Gastroenterology
Gastroesophageal Reflux Disease (GERD) Summary
 - Diagnosis
 - Clinical Workflow
 - PPIs
 - Treatment
 - Acid
Gastroesophageal ... Reflux Disease ... Workflow - PPIs - Treatment ... #Reflux #Disease ... #GERD #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
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal ... Reflux Disease ... Esophageal manometry • Refractory ... #Reflux #Disease ... diagnosis #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
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Esophageal Crohn's Disease ... Management Algorithm ... Stricturing/Fistulizing Disease ... Mitomycin C • Refractory ... #treatment #IBD
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
- Diagnosis Algorithm ... Celiac disease ... unresponsive to treatment ... #Diagnosis #Algorithm ... #gastroenterology
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
Drug Adherence • Disease ... Escalate Treatment ... JAK Inhibitor Algorithm ... Persistent #5ASA #Refractory ... #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... caution in pulmonary disease ... caution in pulmonary disease ... #Tachycardia #Treatment ... management #cardiology #algorithm
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Refractory Eosinophilic ... EOE) Management Algorithm ... #EoE #Refractory ... Esophagitis #Management #Algorithm ... #gastroenterology