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 diagnosis egd management eoe eosinophilic esophagitis gastric grading anemia bleeding checklist clinical colon deficiency dyspepsia eus forrest functional gastrointestinal
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
symptom metric • Endoscopy ... : Persistent endoscopic ... 30% decrease in EREFS ... symptom metric • Endoscopy ... score < 20 • Endoscopy
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Esophagitis (EoE) - Endoscopic ... ReFerence Score (EREFS ... 1: Present #EREFS ... #Esophagitis #Endoscopic ... Score #diagnosis #classification
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
Gastrointestinal Evaluation ... Bidirectional endoscopy ... biopsies Capsule endoscopy ... bidirectional endoscopy ... Gastrointestinal #Evaluation
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
Endoscopic Ultrasound Lesion - Evaluation Checklist 1. Endoscopic appearance of covered mucosa (if SEL) 2. Location (with layer
Endoscopic Ultrasound ... Lesion - Evaluation ... Endoscopic appearance ... EUS #checklist #Endoscopic ... Ultrasound #Lesion #Evaluation
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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