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 endoscopy bleeding diagnosis eosinophilic esophagus video algorithm boerhaave classification esophageal gastric grading risks syndrome active acute antibiotic banding black
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Eosinophilic Esophagitis ... symptom metric • Endoscopy ... : Persistent endoscopic ... score < 20 • Endoscopy ... #Eosinophilic #Esophagitis
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Endoscopic Bleeding ... forceps biopsy (EGD ... - Resections (ESD ... Gastroenterology #EGD ... HighRisk #Diagnosis #Management
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Eosinophilic Esophagitis ... (EoE) - Endoscopic ... Present #EREFS #EoE ... #Endoscopic #ReFerence ... gastroenterology #EGD
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... Pseudomembranous esophagitis ... Klebsiella, pneumoniae) Management ... esophagus #diagnosis #management
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 ... Nail #Removal #Endoscopy ... #egd #esophagogastroduodenoscopy ... gastroenterology #retrieval #clinical
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 Brisk Gastric Bleeding on Upper Endoscopy 87 year old female. Acute bleeding in stomach. Dieulafoy’s Lesion
Bleeding on Upper Endoscopy ... Bleeding #Upper #Endoscopy ... #EGD #gastroenterology ... #clinical
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 Refractory Eosinophilic Esophagitis (EOE) Management Algorithm Initial treatment with topical steroids Initial treatment with dietary elimination Continued EoE nonresponse:
Refractory Eosinophilic Esophagitis ... (EOE) Management ... Elemental diet, Clinical ... #Eosinophilic #Esophagitis ... #Management #Algorithm
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
risks are without endoscopic ... gastroenterology #EGD ... #clinical
Eosinophilic Esophagitis (EoE) - Treatment Algorithm Medical therapy: • Proton pump inhibition • Topical corticosteroids Diet therapy •
Eosinophilic Esophagitis ... (EoE) - Treatment ... testing directed #EoE ... #Eosinophilic #Esophagitis ... Treatment #Algorithm #management
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... algorithm for GIM management ... Endoscopic surveillance ... GIM #diagnosis #management
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