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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Refractory Eosinophilic Esophagitis (EOE) Management Algorithm
Initial treatment with topical steroids
Initial treatment with dietary elimination
Continued EoE nonresponse:
Eosinophilic Esophagitis (EOE ... ) Management Algorithm ... Elemental diet, Clinical ... #EoE #Refractory ... #Esophagitis #Management
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
Eosinophilic Esophagitis (EoE ... eosinophilia, ≥ 15 eos ... eosinophilia, 7-14 eos ... /hpf 1-6 eos/hpf ... #Esophagitis #EoE
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease
Mild:
 • Trial of PPI
 • Trial
as CT scan #EoE ... Gastroenteritis #Treatment #management
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Eosinophilic Esophagitis (EoE ... Present #EREFS #EoE
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... algorithm for GIM management ... GIM #diagnosis #management
Gastric Polyp Diagnosis and Management Algorithm

#Gastric #Polyp #Diagnosis #Management #Algorithm #gastroenterology
Diagnosis and Management ... Polyp #Diagnosis #Management
Management of critically-ill cirrhotic patients

Open Access Source (Intensive Care Med (2018) 44:1932–1935): https://link.springer.com/epdf/10.1007/s00134-018-5078-z?shared_access_token=rKBIIjC6Htq14G82yghJnfe4RwlQNchNByi7wbcMAY63FIMr4IeFUPHZTUFKckgGIQeEsXu7k1NhPo-T8ItytjuWlMH7y0kI6IydY2i7VzU4Y93MfuEKQruo-qIKnVF91JyuQsQbJNPJv3UJYPzkySdSktYPmFVd6xw1xJDLPqY%3D

#cirrhotic #cirrhosis #Management #CriticalCare
Management of critically-ill ... cirrhotic #cirrhosis #Management
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Management of Jackhammer ... Step 4: Medical Management ... Esophageal #Spasm #Management
Heartburn / Dyspepsia Management Algorithm

#Heartburn #Dyspepsia #GERD #Management #Algorithm #gastroenterology
Heartburn / Dyspepsia Management ... Dyspepsia #GERD #Management
Malignant Colorectal Polyps - Management Algorithm

#Colorectal #Polyps #Management #Algorithm #Malignant #gastroenterology
Colorectal Polyps - Management ... Colorectal #Polyps #Management