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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Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
surveillance of varices ... -2/fulltext #varices ... #Variceal #Screening ... Surveillance #Hepatology #EGD
Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening ... Cirrhosis No varices ... years Small varices ... Screening #Algorithm #EGD ... #varices #hepatology
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
forceps biopsy (EGD ... Polypectomy - Variceal ... - Resections (ESD ... Gastroenterology #EGD
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Necrosis (Black Esophagus ... Necrosis #Black #Esophagus ... #Endoscopy #EGD
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... BE - distal esophagus ... #Barretts #Esophagus ... Documentation #EGD
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Bleeding Esophageal Varices ... that specific variceal ... - Varices in ... EGD and the Banding ... fellows #endoscopy #egd
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Disorders Achalasia EGJ ... Spasm Jackhammer Esophagus
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... Necrosis #black #esophagus
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Metaplasia/Barrett's Esophagus ... Criteria #Barretts #Esophagus ... diagnosis #endoscopy #EGD
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... hold from sharp end ... not, trail sharp end ... Removal #Endoscopy #egd ... gastroenterology #retrieval #clinical