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Primary Sclerosing Cholangitis (PSC) and IBD - IBD Algorithm

Dr. Wade Billings @wabillin

#PSC #IBD #Algorithm #IBDAlgorithm #gastroenterology
Primary Sclerosing ... Cholangitis (PSC) and IBD ... - IBD Algorithm ... #Algorithm #IBDAlgorithm ... gastroenterology #management
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ... ERCP 1. ... of symptomatic stones ... of strictures, Stone ... #Indications #management
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... stone on transabdominal ... #Management #Algorithm ... Choledocholithiasis #Biliary
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
HyperCa2+ • Other: ERCP ... • Imaging: US (biliary ... (necrosis, biliary ... , stones), CTA if ... gemfibrozil 600 bid
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
The 6 C’s of Primary ... to multi-focal biliary ... there are many indications ... judicious use of ERCP ... liver disease management
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 • Refractory
 • Failed multiple
- IBD Algorithm ... Indication for ... Targeted #Therapy #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
mediastinal cysts - Biliary ... cardiac devices (ICD ... GI tract) - Biliary ... Endoscopy #EGD #Indications ... Gastroenterology #Management
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Schema for the Management ... of Pruritus in Primary ... Biliary Cholangitis ... Recirculating System; CBD ... #Hepatology #Algorithm