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
Endoscopic Bleeding ... - Diagnostic endoscopy ... ) - Capsule endoscopy ... - EUS with out ... HighRisk #Diagnosis #Management
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Functional Dyspepsia ... Diagnosis and Management ... structurally normal endoscopy ... Early satiety #Functional ... #algorithm #gastroenterology
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 ... Bleeding #Risks #Grading
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Esophagitis (EoE) - Endoscopic ... #Esophagitis #Endoscopic ... Score #diagnosis #classification ... gastroenterology #EGD #grading
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
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
Treatment of Pouchitis
 • Microbiota-associated - Antibiotics (ciproflaxcin, metronidzole, tinidazole, amoxicillin)
 • Immune-mediated - Budesonide, Mesalamines;
• Structural/functional ... obstruction-fecal stasis - Endoscopic ... pouchitis #Treatment #management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... bleeding - EUS-FNA ... prosthesis - EUS-FNA ... #Prophylaxis #Endoscopy ... Gastroenterology #Management