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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Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
Biliary Cannulation ... distortions, the tip ... #Selective #Biliary ... #ercp #gastroenterology ... #management #diagnosis
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... lesions (upper or lower ... GI tract) - Biliary ... Gastroenterology #Management
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... banded if the lower ... and jiggle the tip ... Varices #variceal #Tips ... #Tricks #management