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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Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... RodriguezParra_ #active #Gastric ... Upper #Endoscopy #EGD ... gastroenterology #clinical
Gastric Polyp Diagnosis and Management Algorithm

#Gastric #Polyp #Diagnosis #Management #Algorithm #gastroenterology
Gastric Polyp Diagnosis ... and Management ... Algorithm #Gastric ... Polyp #Diagnosis #Management
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Gastric Intestinal ... replacement of normal gastric ... pylori) gastritis Clinical ... algorithm for GIM management ... GIM #diagnosis #management
Gastric Epithelial Polyps - Evaluation and Management 
Hyperplastic Polyps
Fundic gland polyps (FGP)
Gastric Adenomas
Gastric Neuroendocrine Tumours (NET)
Hamartomatous
Gastric Epithelial ... Evaluation and Management ... polyps (FGP) Gastric ... Adenomas Gastric ... Polyps #diagnosis #Management
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
forceps biopsy (EGD ... - Resections (ESD ... Gastroenterology #EGD ... HighRisk #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 ... not, trail sharp end ... Removal #Endoscopy #egd ... gastroenterology #retrieval #clinical
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
UpperGI #Rebleeding #Gastric ... Prevalence #Stigmata #EGD
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
air gently till gastric ... Documentation #EGD
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
: - tops of gastric ... diagnosis #endoscopy #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 ... Klebsiella, pneumoniae) Management ... esophagus #diagnosis #management