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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Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Intestinal Metaplasia (GIM ... replacement of normal ... Clinical decision algorithm ... for GIM management ... #diagnosis #management
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
Intervals 10 years: Normal ... gastroenterology #guidelines #management ... #polypectomy
Cold Snare Polypectomy - Tips and Tricks
 - Before initiating cold snare polypectomy, it is important
Cold Snare Polypectomy ... initiating cold snare polypectomy ... fold and in the management ... anchored to the normal ... #Tips #Tricks#management
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... tests algorithm ... initial response to abnormal ... include extrahepatic biliary ... #Algorithm #Hepatology
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Diagnosis and Management ... a structurally normal ... Pathophysiology #Diagnosis #Management ... #algorithm #gastroenterology
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... <45% and SF is normal ... hemochromatosis #algorithm ... #diagnosis #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 ... #PBC #Primary #Biliary ... #Cirrhosis #Management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
- Cirrhosis & GI ... mediastinal cysts - Biliary ... upper or lower GI ... tract) - Biliary ... Gastroenterology #Management
Acid Reflux - Management Algorithm
 - Step down and stop; restart on lowest effective dose if
Acid Reflux - Management ... Algorithm - Step ... relapse occurs - Aim ... #Reflux #GERD #Management ... #Algorithm #ppi