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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Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
Screening and surveillance ... - No for screening ... varices #Variceal #Screening ... Surveillance #Hepatology #EGD ... #PrimaryCare #Algorithm
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... presenting with acute lower ... gastrointestinal bleeding ... interventional radiology; OGD ... #lower #GIBleeding
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Management of Bleeding ... - If without bleeding ... banded if the lower ... EGD and the Banding ... fellows #endoscopy #egd
Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening ... Algorithm in Cirrhosis ... #Variceal #Screening ... #Algorithm #EGD
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... mediastinal cysts - Biliary ... lesions (upper or lower ... GI tract) - Biliary ... Prophylaxis #Endoscopy #EGD