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
Risk - Summary ... guideline Low Risk ... forceps biopsy (EGD ... sphincterotomy High Risk ... #EGD #LowRisk #
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... Bleeding Rebleeding risks ... are without endoscopic ... Ulcer #Bleeding #Risks ... gastroenterology #EGD
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk ... value for the risk ... should receive endoscopic ... Prevalence #Stigmata #EGD ... #Endoscopy
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... High risk of injury ... hold from sharp end ... Nail #Removal #Endoscopy ... #egd #esophagogastroduodenoscopy
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... prevalence and risks ... Prevalence #Stigmata #EGD ... #Endoscopy
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
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
and Management Risk ... structurally normal endoscopy ... Diagnosis #Management #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 ... #EGD #varices # ... hepatology #endoscopy
Boerhaave Syndrome on Endoscopy - Pleural Space

Massive Spontaneous Esophageal Perforation (Boerhaave Syndrome) in active COVID 19
Boerhaave Syndrome on Endoscopy ... month long high-risk ... Syndrome #clinical #endoscopy ... #video #EGD #esophagus
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... infection and high risk ... #Prophylaxis #Endoscopy ... #EGD #Indications