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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10 results
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Bleeding on Upper Endoscopy ... RodriguezParra_ #active ... Bleeding #Upper #Endoscopy ... gastroenterology #clinical
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... decision algorithm ... for GIM management ... Endoscopic surveillance ... GIM #diagnosis #management
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... risks are without endoscopic ... Re-bleeding #Forrest #Classification ... gastroenterology #EGD #clinical
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Diagnosis and Management ... structurally normal endoscopy ... Pathophysiology #Diagnosis #Management ... #algorithm #gastroenterology
Colon Polyp Removal Algorithm - Endoscopy or Surgery Referral
Studies show polyp removal surgeries are performed at
Polyp Removal Algorithm ... - Endoscopy or ... #Colon #Polyp #Algorithm ... Surgery #Referral #management
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... but anticipate active ... patient is not actively ... #Tips #Tricks #management ... gastroenterology #fellows #endoscopy
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... visible vessel; E, active ... Stigmata #EGD #Endoscopy
Boerhaave Syndrome on Endoscopy - Pleural Space

Massive Spontaneous Esophageal Perforation (Boerhaave Syndrome) in active COVID 19
Boerhaave Syndrome on Endoscopy ... Boerhaave Syndrome) in active ... Boerhaave #Syndrome #clinical ... #endoscopy #video
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... the setting of active ... #Prophylaxis #Endoscopy ... Gastroenterology #Management
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Esophagitis (EOE) Management ... Algorithm Initial ... Elemental diet, Clinical ... #Esophagitis #Management ... #Algorithm #gastroenterology