Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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Management of Low Risk (Mild Severity) Crohns Disease 
Asymptomatic or Incidentally Discovered on Endoscopy 
 β€’
Management of Low ... Mild Severity) Crohns ... Discovered on Endoscopy ... #Disease #Management ... LowRisk #Mild #Gastroenterology
Factors Indicating Low Risk Disease Severity in Crohn's Disease 
 β€’ Limited anatomic involvement 
 β€’
Factors Indicating ... burden Factors Indicating ... mucosal lesions on endoscopy ... Prior small bowel resection ... #RiskFactors #Gastroenterology
Endoscopic Mucosal Resection
Injection of solution into submucosal space to separate a mucosal lesion from muscularis propria
Endoscopic Mucosal ... Resection Injection ... electrosurgery Indication ... #endoscopy #gastroenterology ... #management #EMR
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
β€’ Prevalence Crohn's ... MMA) for ileal Crohn's ... /resection/restricted ... fatigue despite disease ... Algorithm #diagnosis #management
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
Endoscopic Submucosal Dissection (ESD) - Polyp Resection Techniques

Technique:
 β€’ The polyp is then lifted by submucosal
Endoscopic Submucosal ... (ESD) - Polyp Resection ... Indications: β€’ ... @enrrikke #Endoscopic ... #Management #gastroenterology
Hot Endoscopic Mucosal Resection (EMR) - Polyp Resection Techniques

Technique:
The polyp is initially lifted by submucosal iniection
Hot Endoscopic Mucosal ... Indications: β€’ ... enrrikke #Hot #Endoscopic ... #EMR #Polyp #Management ... #gastroenterology
Endoscopic Full-Thickness Resection (EFTR) - Polyp Resection Techniques
Technique:
 β€’ Planned resection margins marked thermally. The full-thickness
Endoscopic Full-Thickness ... Resection (EFTR ... Indications: β€’ ... @enrrikke #Endoscopic ... #Management #gastroenterology
Strategies to Improve Quality of Screening and Surveillance Colonoscopy - AGA Guidelines

1. Adequate bowel preparation.
2. Use
have malignant endoscopic ... resection rather ... including procedure indication ... AGA #Guidelines #management ... #gastroenterology
Probiotics Guidelines
Adults with C difficile infection
 β€’ Recommendation: Only in the context of a clinical trial
Children with Crohn's ... disease β€’ Recommendation ... Probiotics #Guidelines #gastroenterology ... #indications #recommendations ... #management #evidence