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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Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - Stigmata ... The stigmata of ... risk of further bleeding ... should receive endoscopic ... #EGD #Endoscopy
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... - Diagnostic endoscopy ... ) - Capsule endoscopy ... only) - EMR (endoscopic ... #Endoscopic #Bleeding
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... the stigmata of ... bleeding ulcers ... Ulcers #Prevalence #Stigmata ... #EGD #Endoscopy
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... for Peptic Ulcer Bleeding ... are without endoscopic ... #Forrest #Classification ... Peptic #Ulcer #Bleeding
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... on Upper Endoscopy ... Acute bleeding in ... active #Gastric #Bleeding ... #Upper #Endoscopy
Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening Algorithm ... unless child C or stigmata ... Variceal #Screening #Algorithm ... varices #hepatology #endoscopy
Colon Polyp Removal Algorithm - Endoscopy or Surgery Referral
Studies show polyp removal surgeries are performed at
Polyp Removal Algorithm ... - Endoscopy or ... #Colon #Polyp #Algorithm
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Esophagitis (EoE) - Endoscopic ... #Esophagitis #Endoscopic ... Score #diagnosis #classification
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
structurally normal endoscopy ... Diagnosis #Management #algorithm
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... GIM management Endoscopic