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 hepatology gastroenterology egd endoscopy management algorithm cirrhosis causes clinical differential pbc primary gastric liver anatomy cholangiogram prevalence rebleeding risks
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... mediastinal cysts - Biliary ... without cholangitis: ERCP ... transplant getting ERCP ... GI tract) - Biliary
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
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 Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Endoscopic Bleeding ... enteroscopy - ERCP ... resection - ERCP ... Endoscopy #Endoscopic #Bleeding
Cholangiogram Biliary Anatomy on ERCP #Cholangiogram #Biliary #Anatomy #hepatology #ercp
Cholangiogram Biliary ... Anatomy on ERCP ... Cholangiogram #Biliary ... Anatomy #hepatology #ercp
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... Clot - 20-30% Re-bleeding
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
Causes of Severe Acute Liver Injury - Ichemic hepatitis - Acute biliary obstruction - Drug-Induced liver
hepatitis - Acute biliary ... Hemochromatosis - Primary biliary
Primary Biliary Cirrhosis - Pathophysiology Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish Epigentics Risk
Primary Biliary ... inflammation and biliary ... #PBC #Primary #Biliary
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding. The stigmata of
Prevalence and Risk of Rebleeding ... risk of further bleeding ... Gastroenterology #UpperGI #Rebleeding
Gallstone Diseases 1. Asymptomatic Stones 75% 2. Biliary Pain 20% 3. Acute Cholecystitis 10% 4. Mirizzi's Syndrome < 0.1% 5. Cholangitis/
Biliary Pain 20%
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