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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gastroenterology diagnosis egd endoscopy pathophysiology cirrhosis hepatology antibiotic bowel carcinoma clinical diet dyspepsia forrest gastric grading guidelines hcc hepatocellular highrisk
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Endoscopic Bleeding ... Risk - Summary ... guideline Low Risk ... #Endoscopic #Bleeding ... HighRisk #Diagnosis #Management
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
Forrest Classification ... Rebleeding risks ... are without endoscopic ... #Forrest #Classification ... #Risks #Grading
Functional Dyspepsia - Pathophysiology, Diagnosis and Management Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Functional Dyspepsia ... Risk factors: ... structurally normal endoscopy ... Early satiety #Functional ... #algorithm #gastroenterology
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm Very early (0) - Single <2 cm, Preserved liver
in Cirrhosis - Management ... Algorithm Very ... Preserved liver function ... HCC #Cirrhosis #Management ... #Algorithm #hepatology
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; A, clean
Classification of ... prevalence and risks ... of further bleeding ... vessel; E, active bleeding ... Stigmata #EGD #Endoscopy
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm Risk factors: Previous acute enteric infection, Female
Diagnosis and Management ... Algorithm Risk ... Younger age, Other functional ... chronic fatigue) Risk ... #Algorithm #gastroenterology
Treatment of Pouchitis • Microbiota-associated - Antibiotics (ciproflaxcin, metronidzole, tinidazole, amoxicillin) • Immune-mediated - Budesonide, Mesalamines;
• Structural/functional ... obstruction-fecal stasis - Endoscopic ... pouchitis #Treatment #management
Nutrition in Cirrhosis: Dos and Don’ts Screening: • Patients at risk for RFH-Nutritional Prioritizing Tool • Low
• Patients at risk ... ultrasound) • Muscle function ... muscle mass and function ... Cirrhosis #diet #management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... infection and high risk ... #Prophylaxis #Endoscopy ... Gastroenterology #Management
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