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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egd endoscopy gastroenterology diagnosis hepatology management risks variceal banding cirrhosis clinical esophageal fellows forrest gastric grading guidelines highrisk lowrisk mortality
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
Forrest Classification ... for Peptic Ulcer ... risks are without endoscopic ... #Forrest #Classification ... #Peptic #Ulcer
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Endoscopic Bleeding ... - Diagnostic endoscopy ... ) - Capsule endoscopy ... Polypectomy - Variceal ... #Endoscopic #Bleeding
Variceal Screening Algorithm in Cirrhosis No varices -> repeat 2-3 years Small varices->repeat 1-2 years unless child
Variceal Screening ... Algorithm in Cirrhosis ... No varices -> ... #Screening #Algorithm ... hepatology #endoscopy
Endoscopy - Management of Bleeding Esophageal Varices What to Band? - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... anticipate active bleeding ... - If without bleeding ... gastroenterology #fellows #endoscopy
Cirrhosis Timeline and Mortality Rate Compensated Cirrhosis Stage 1 - No varices (Annual Mortality Rate 1%) Stage 2 -
Stage 1 - No varices ... 1%) Stage 2 - Varices ... Stage 4 - Gl bleeding ... or Hepatic Encephalopathy
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; A, clean
Classification of ... the stigmata of bleeding ... risks of further bleeding ... vessel; E, active bleeding ... Stigmata #EGD #Endoscopy
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