Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Endoscopic Surveillance and Management of Colorectal Dysplasia in Inflammatory Bowel Diseases

By Dr. Cicily Vachaparambil @CicilyVachaMD via
Endoscopic Surveillance ... and Management ... of Colorectal Dysplasia ... Inflammatory Bowel Diseases ... Dysplasia #IBD #gastroenterology
Management of Low Risk (Mild Severity) Crohns Disease 
Asymptomatic or Incidentally Discovered on Endoscopy 
 β€’
Management of Low ... Discovered on Endoscopy ... thereafter β€’ Repeat colonoscopy ... #Management #LowRisk ... #Mild #Gastroenterology
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
Thiopurine Assess Disease ... Activity: Colonoscopy ... ESR β€’ Active Disease ... #gastroenterology ... #indications
Indications for ERCP
1. Biliary Tract Diseases:
 β€’ Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ... Biliary Tract Diseases ... Stone extraction, Endoscopic ... papilla #ERCP #Indications ... #management #gastroenterology
IBD Colonoscopy Surveillance 
LOW RISK - Follow-up Colonoscopy at 3 years:
 β€’ Quiescent disease , Endoscopic
IBD Colonoscopy ... : β€’ Quiescent disease ... , Endoscopic and ... Surveillance #Guidelines #management ... #gastroenterology
ACA Colorectal Cancer Screening Guidelines

When to Screen?
When to Stop?
Family History

Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based
visualization: β€’ Colonoscopy ... colon #Screening #Indications ... comparison #table #management ... #gastroenterology ... #CRC #Testing #Indications
How to Approach Small Polyps in Colon
Despite their appearance, small colon polyps can pose unique challenges
challenges to endoscopic ... future risk of colorectal ... small #polyps #colonoscopy ... #management #gastroenterology
Strategies to Improve Quality of Screening and Surveillance Colonoscopy - AGA Guidelines

1. Adequate bowel preparation.
2. Use
have malignant endoscopic ... should go for endoscopic ... including procedure indication ... AGA #Guidelines #management ... #gastroenterology
Endoscopic Full-Thickness Resection (EFTR) - Polyp Resection Techniques
Technique:
 β€’ Planned resection margins marked thermally. The full-thickness
Endoscopic Full-Thickness ... placed onto the colonoscope ... Indications: β€’ ... Polyp #Resection #Management ... #gastroenterology
Hot Endoscopic Mucosal Resection (EMR) - Polyp Resection Techniques

Technique:
The polyp is initially lifted by submucosal iniection
Hot Endoscopic Mucosal ... Indications: β€’ ... requires surveillance colonoscopy ... Resection #EMR #Polyp #Management ... #gastroenterology