Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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ibd guidelines algorithm crohns screening surveillance aga bsg cancer checkpointinhibitor colitis colorectal comparison deescalation diagnosis high immune low lowrisk quality
IBD Colonoscopy Surveillance - BSG Guidelines 2019 High Risk - 1 Year • Extensive colitis AND
IBD Colonoscopy ... AND any of: • Mild ... affecting <50% of colon ... drkeithsiau #IBD #Colonoscopy ... BSG #Guidelines #management
Management of Low Risk (Mild Severity) Crohns Disease Asymptomatic or Incidentally Discovered on Endoscopy •
Management of Low ... Discovered on Endoscopy ... calprotectin, CRP ... thereafter • Repeat colonoscopy ... #Mild #Gastroenterology
IBD Colonoscopy Surveillance LOW RISK - Follow-up Colonoscopy at 3 years: • Quiescent disease , Endoscopic
: • Quiescent disease ... , Endoscopic and ... 1-3 years: • Mild ... Surveillance #Guidelines #management ... #gastroenterology
Thiopurine De-escalation and IBD - Management Algorithm IBD Patient on Thiopurine Interested in Discontinuing Thiopurine Assess Disease Activity:
Activity: Colonoscopy ... Imaging/VCE, FCP, CRP ... ESR • Active Disease ... #gastroenterology ... #indications
ACA Colorectal Cancer Screening Guidelines When to Screen? When to Stop? Family History Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based
visualization: • Colonoscopy ... #Screening #Indications ... comparison #table #management ... #gastroenterology ... Indications
Strategies to Improve Quality of Screening and Surveillance Colonoscopy - AGA Guidelines 1. Adequate bowel preparation. 2. Use
look of the right colon ... have malignant endoscopic ... including procedure indication ... AGA #Guidelines #management ... #gastroenterology
Factors Indicating Low Risk Disease Severity in Crohn's Disease • Limited anatomic involvement •
Factors Indicating ... immunosuppressive therapy • Mild ... mucosal lesions on endoscopy ... • Elevated CRP ... #RiskFactors #Gastroenterology
Immune Checkpoint Inhibitor-Mediated Colitis Grade of Disease Severity: • G1: Increase < 4 BMs/day over baseline; mild
Colitis Grade of Disease ... over baseline; mild ... • Endoscopy ( ... Flex Sig or Colon ... Colitis #diagnosis #management
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