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 management diagnosis eosinophilic egd esophagitis endoscopy gastric grading treatment bleeding clinical colon dyspepsia erefs forrest functional gastroenteritis gim hepatology
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
symptom metric • Endoscopy ... : Persistent endoscopic ... symptom metric • Endoscopy ... score < 20 • Endoscopy ... #Esophagitis #EoE
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Eosinophilic Esophagitis (EoE ... ) - Endoscopic ReFerence ... Present #EREFS #EoE ... #Esophagitis #Endoscopic ... Score #diagnosis #classification
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
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... GIM management Endoscopic
Colon Polyp Removal Algorithm - Endoscopy or Surgery Referral Studies show polyp removal surgeries are performed at
Polyp Removal Algorithm ... - Endoscopy or ... #Colon #Polyp #Algorithm
Functional Dyspepsia - Pathophysiology, Diagnosis and Management Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
structurally normal endoscopy ... Diagnosis #Management #algorithm
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm Initial treatment with topical steroids Initial treatment with dietary elimination Continued EoE nonresponse:
Eosinophilic Esophagitis (EOE ... ) Management Algorithm ... elimination Continued EoE ... #EoE #Refractory ... Esophagitis #Management #Algorithm
Eosinophilic Esophagitis (EoE) - Treatment Algorithm Medical therapy: • Proton pump inhibition • Topical corticosteroids Diet therapy •
Eosinophilic Esophagitis (EoE ... ) - Treatment Algorithm ... testing directed #EoE ... Esophagitis #Treatment #Algorithm
Eosinophilic Gastroenteritis Management Algorithm - PPI x 8 weeks - Dietary therapy with Empiric Elimination or
Gastroenteritis Management Algorithm ... x 4-8 wks #EoE ... Gastroenteritis #Management #Algorithm
Variceal Screening Algorithm in Cirrhosis No varices -> repeat 2-3 years Small varices->repeat 1-2 years unless child
Variceal Screening Algorithm ... Variceal #Screening #Algorithm ... varices #hepatology #endoscopy
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