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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gastroenterology diagnosis bleeding hepatology variceal varices antibiotic banding carcinoma cirrhosis colon dyspepsia esophageal fellows gastric gim guidelines hcc hepatocellular highrisk
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Endoscopic Bleeding ... - Diagnostic endoscopy ... ) - Capsule endoscopy ... #Endoscopic #Bleeding ... HighRisk #Diagnosis #Management
Functional Dyspepsia - Pathophysiology, Diagnosis and Management Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Functional Dyspepsia ... Diagnosis and Management ... structurally normal endoscopy ... Early satiety #Functional ... #algorithm #gastroenterology
Colon Polyp Removal Algorithm - Endoscopy or Surgery Referral Studies show polyp removal surgeries are performed at
Polyp Removal Algorithm ... - Endoscopy or ... #Colon #Polyp #Algorithm ... Surgery #Referral #management
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... for GIM management ... Endoscopic surveillance ... GIM #diagnosis #management
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm Very early (0) - Single <2 cm, Preserved liver
in Cirrhosis - Management ... Algorithm Very ... transplantable HCC, End-stage ... HCC #Cirrhosis #Management ... #Algorithm #hepatology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... obstruction without cholangitis ... #Prophylaxis #Endoscopy ... #EGD #Indications ... Gastroenterology #Management
Variceal Screening Algorithm in Cirrhosis No varices -> repeat 2-3 years Small varices->repeat 1-2 years unless child
Variceal Screening Algorithm ... Variceal #Screening #Algorithm ... #EGD #varices # ... hepatology #endoscopy
Treatment of Pouchitis • Microbiota-associated - Antibiotics (ciproflaxcin, metronidzole, tinidazole, amoxicillin) • Immune-mediated - Budesonide, Mesalamines;
• Structural/functional ... obstruction-fecal stasis - Endoscopic ... pouchitis #Treatment #management
Endoscopy - Management of Bleeding Esophageal Varices What to Band? - Always find the varix that
Endoscopy - Management ... EGD and the Banding ... #Tips #Tricks #management ... gastroenterology #fellows #endoscopy ... #egd #banding
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