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 management diagnosis eosinophilic egd esophagitis gastric grading treatment bleeding clinical colon dyspepsia endoscopic erefs forrest functional gastroenteritis gim hepatology
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Eosinophilic Esophagitis (EoE ... symptom metric • Endoscopy ... : Persistent endoscopic ... score < 20 • Endoscopy ... #Esophagitis #EoE
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Eosinophilic Esophagitis (EoE ... ) - Endoscopic ReFerence ... Present #EREFS #EoE ... #Esophagitis #Endoscopic ... Score #diagnosis #classification
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
Colon Polyp Removal Algorithm - Endoscopy or Surgery Referral Studies show polyp removal surgeries are performed at
Polyp Removal Algorithm ... - Endoscopy or ... #Colon #Polyp #Algorithm
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
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm Initial treatment with topical steroids Initial treatment with dietary elimination Continued EoE nonresponse:
Eosinophilic Esophagitis (EOE ... ) Management Algorithm ... elimination Continued EoE ... #EoE #Refractory ... Esophagitis #Management #Algorithm
Eosinophilic Esophagitis (EoE) - Treatment Algorithm Medical therapy: • Proton pump inhibition • Topical corticosteroids Diet therapy •
Eosinophilic Esophagitis (EoE ... ) - Treatment Algorithm ... testing directed #EoE ... Esophagitis #Treatment #Algorithm
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 ... varices #hepatology #endoscopy
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; A, clean
Classification of ... Stigmata #EGD #Endoscopy
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