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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Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Risk - Summary ... guideline Low Risk ... sphincterotomy High Risk ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... Bleeding Rebleeding risks ... are without endoscopic ... Re-bleeding #Forrest #Classification ... Ulcer #Bleeding #Risks
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Gastrointestinal Evaluation ... Bidirectional endoscopy ... bidirectional endoscopy ... change medical management ... Gastrointestinal #Evaluation
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Diagnosis and Management ... Risk factors: ... structurally normal endoscopy ... Pathophysiology #Diagnosis #Management ... #algorithm #gastroenterology
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... for GIM management ... Endoscopic surveillance ... GIM #diagnosis #management
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
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Diagnosis and Management ... Algorithm Risk ... chronic fatigue) Risk ... Pathophysiology #Diagnosis #Management ... #Algorithm #gastroenterology
Non-alcoholic fatty liver disease algorithm.
 
For those patients with NAFLD or liver disease of unknown aetiology,
liver disease algorithm ... signifying a low risk ... Disease #NAFLD #algorithm ... #Referral #Management
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Algorithm regarding ... normal, further evaluation ... C282Y homozygote, evaluation ... hemochromatosis #algorithm ... #diagnosis #management
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... prevalence and risks ... Stigmata #EGD #Endoscopy