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 ... forceps biopsy (EGD ... ) - Capsule endoscopy ... - EUS with out
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
Endoscopic Ultrasound Lesion - Evaluation Checklist
1. Endoscopic appearance of covered mucosa (if SEL)
2. Location (with layer
Endoscopic Ultrasound ... Lesion - Evaluation ... Endoscopic appearance ... @KM_Pawlak #EUS ... #checklist #Endoscopic
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
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... Prevalence #Stigmata #EGD ... #Endoscopy
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 ... #EGD #Indications