17 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
Extraesophageal Symptoms ... Issues Diagnosis Algorithm ... Refractory GERD ... Diagnosis #Management #Treatment ... #Algorithm #Gastroenterology
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
Buprenorphine-Naloxone ... and treatment of ... withdrawal symptoms ... methadone) #Buprenorphine ... Opioid #Withdrawal #Algorithm
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Disease - IBD Algorithm ... manifestation in 10% • refractory ... IBDAlgorithm #IBD #Algorithm ... #gastroenterology ... #management #treatment
Persistent UC Symptoms Despite 5-ASA Therapies
 • Assess for Drug Adherence
 • Disease Activity Assessment (bloody
Persistent UC Symptoms ... Escalate Treatment ... JAK Inhibitor Algorithm ... Persistent #5ASA #Refractory ... #Algorithm
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
Disease Management Algorithm ... Assess for Active Symptoms ... Mitomycin C • Refractory ... Esophagectomy Algorithm ... #treatment #IBD
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
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Incomplete/relief/treatment ... Esophageal manometry • Refractory ... Nonpharmacologic Treatment ... of bed GERD Treatment ... diagnosis #management #Gastroenterology
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
Disease - Diagnosis Algorithm ... • Signs and symptoms ... unresponsive to treatment ... Disease #Diagnosis #Algorithm ... #gastroenterology
Acute Pouchitis - Management Algorithm
Ciprofloxacin 500 mg/12 h or metronidazole 20 mg/kg/d x 2 weeks
 -
Pouchitis - Management Algorithm ... Response (Chronic Refractory ... #treatment #IBD ... #gastroenterology ... #Refractory
Refractory Helicobacter Pylori Infection

Causes:
 • Antibiotic resistance (i.e. prior antibiotic exposure to levofloxacin)
 • Non-adherence (i.e.
Refractory Helicobacter ... leads to more treatment ... EmoryGastroHep #Refractory ... diagnosis #management #algorithm ... #gastroenterology