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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Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Refractory Eosinophilic ... Esophagitis (EOE) Management ... Algorithm Initial ... Elemental diet, Clinical ... #EoE #Refractory
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... decision algorithm ... for GIM management ... GIM #diagnosis #management
Peptic Stricture Management Algorithm

Simple strictures (<2cm, focal, straight): PPI
Complex/refractory (>2cm, angulated, irregular): PPI → dilatation →
Peptic Stricture Management ... Algorithm Simple ... : PPI Complex/refractory ... Peptic #Stricture #Management ... #Algorithm #gastroenterology
Refractory Ascites - Ascites that cannot be mobilized or early recurrence that cannot be prevented
Diuretic Resistant:
Refractory Ascites ... kg over 4 days, Urinary ... encephalopathy #Refractory ... Ascites #diagnosis #management ... #algorithm #treatment