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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Common Bile Duct Biliary Stone removal on ERCP

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Biliary #Stone #removal #extraction #ERCP
Common Bile Duct Biliary ... Stone removal on ERCP ... DrJBerrueta #Biliary ... removal #extraction #ERCP
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
enteroscopy - ERCP ... Procedures - Polypectomy ... resection - ERCP
Cholangiogram Biliary Anatomy on ERCP

#Cholangiogram #Biliary #Anatomy #hepatology #ercp
Cholangiogram Biliary ... Anatomy on ERCP ... Cholangiogram #Biliary ... Anatomy #hepatology #ercp
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Difficult Selective Biliary ... site - OTHERS: biliary ... #Selective #Biliary ... SBC #Difficult #ercp
Cold Snare Polypectomy - Tips and Tricks
 - Before initiating cold snare polypectomy, it is important
Cold Snare Polypectomy ... initiating cold snare polypectomy ... anchored to the normal ... to examine the polypectomy ... #ColdSnare #Polypectomy
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
Intervals 10 years: Normal ... guidelines #management #polypectomy
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... initial response to abnormal ... *Abnormal USS may ... include extrahepatic biliary ... #LFTs #Abnormal
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
mediastinal cysts - Biliary ... without cholangitis: ERCP ... transplant getting ERCP ... GI tract) - Biliary ... without cholangitis: ERCP
Algorithm for the Diagnosis of Primary Biliary Cholangitis (PBC). 

US, ultrasound; MRCP, magnetic resonance cholangiopancreatography; ALP,
Diagnosis of Primary Biliary ... US, ultrasound; MRCP ... antibodies #Primary #Biliary
How a cholangiogram corresponds to liver segments
 - Numbers indicate drained hepatic segments
 - Right anterior
cholangiogram #anatomy #Biliary ... Anatomy #hepatology #ercp