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 endoscopy diagnosis bleeding clinical gastric grading hepatology risks variceal varices antibiotic banding carcinoma cirrhosis colon dyspepsia eoe eosinophilic erefs
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
forceps biopsy (EGD ... - EUS with out ... - Resections (ESD ... Gastroenterology #EGD ... HighRisk #Diagnosis #Management
EGD Nail Removal in the Duodenum 6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... Slippage at UES ... take time at LES/UES ... Nail #Removal #Endoscopy ... #egd #esophagogastroduodenoscopy
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 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 ... gastroenterology #EGD
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
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
Functional Dyspepsia - Pathophysiology, Diagnosis and Management Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Diagnosis and Management ... structurally normal endoscopy ... Pathophysiology #Diagnosis #Management ... #algorithm #gastroenterology
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
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm Very early (0) - Single <2 cm, Preserved liver
in Cirrhosis - Management ... Algorithm Very ... transplantable HCC, End-stage ... HCC #Cirrhosis #Management ... #Algorithm #hepatology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... bleeding - EUS-FNA ... prosthesis - EUS-FNA ... #EGD #Indications ... Gastroenterology #Management
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 ... #EGD #varices # ... hepatology #endoscopy
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