Dr. Michael Chew @mchew85
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GrepMed Gastroenterology-Hepatology Editor, Academic Hospitalist UC Davis Medical Center Internal Medicine, Yale Gastroenterology Fellow '22
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diagnosis gastroenterology hepatology treatment cannulation cirrhosis differential dyspepsia enzymes ercp gastric gim ileal intestinal lfts liver metaplasia pathophysiology pouchitis primary
Functional Dyspepsia - Pathophysiology, Diagnosis and Management Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Functional Dyspepsia ... Diagnosis and Management ... a structurally normal ... endoscopy - Epigastric ... #algorithm #gastroenterology
Difficult Selective Biliary Cannulation (SBC) Factors associated with difficult SBC: - SMALL PAPILLA: can be difficult to
Biliary Cannulation ... (SBC) Factors ... site - OTHERS: biliary ... #Selective #Biliary ... gastroenterology #management
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... include extrahepatic biliary ... body mass index; FBC ... #Algorithm #Hepatology
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
replacement of normal ... Clinical decision algorithm ... for GIM management ... Endoscopic surveillance ... GIM #diagnosis #management
Treatment of Pouchitis • Microbiota-associated - Antibiotics (ciproflaxcin, metronidzole, tinidazole, amoxicillin) • Immune-mediated - Budesonide, Mesalamines;
Oral vancomycin (PSC-enteritis ... • Structural/functional ... obstruction-fecal stasis - Endoscopic ... pouchitis #Treatment #management
Primary Biliary Cirrhosis - Management A. Initiate therapy - Initiate 1st line therapy with UDCA (13-15
Primary Biliary ... Cirrhosis - Management ... 1.5x ULN and/or abnormal ... survey disease #PBC ... #Primary #Biliary
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