44 results
Management of Medically Refractory Gastroparesis

Gastroparesis Pathophysiology
Initial Evaluation
Management
Medications for Medically Refractory Gastroparesis
Gastric Electrical Stimulation
Pylorus Directed Therapies

Dr. Chaitanya
Pathophysiology Initial Evaluation ... Management Medications ... Management #Treatment #Gastroenterology
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Endoscopy 87 year old ... Upper #Endoscopy #EGD ... #gastroenterology
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
De-escalation and IBD ... Colonoscopy +/- EGD ... Remission > 12mo - Indication ... algorithm #management #gastroenterology ... #indications
Stool Cultures - Indications in Diarrhea
Patient Categories to Order Stool Cultures On:
 • Persisting 1 week
Stool Cultures - Indications ... immunocompromised, IBD ... Stool #Cultures #Indications ... #diagnosis #gastroenterology
Trichobezoar on Endoscopy
13 years old.  Vomiting since 1 year with hair loss and abdominal lump.
Endoscopy 13 years old ... bezoar #Endoscopy #EGD ... #clinical #gastroenterology
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
None - Grade 1: Mild ... None - Grade 1: Mild ... None - Grade 1: Mild ... classification #gastroenterology ... #EGD #grading
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Hemorrhage: Ila ... diagnosis #endoscopy #gastroenterology ... #egd
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Ova and Parasite evaluation ... Adjust IS medications ... Colonoscopy +/- EGD ... PTLD, GVHD or IBD
Chronic Diarrhea Differential Diagnosis
 • Inflammatory, Infectious: Recurrent C. diff, Giardiasis
 • Inflammatory, Non-infectious: IBD, Ischemia,
Non-infectious: IBD ... Dysmotility: IBS, Medications ... Diagnosis #causes #gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
GERD: Testing EGD ... indications → PPI ... symptom recurrence → EGD ... failure + negative EGD ... diagnosis #management #Gastroenterology