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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Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Gastric Intestinal ... replacement of normal gastric ... pylori) gastritis Clinical ... Metaplasia #GIM #diagnosis ... #management #gastroenterology
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... 100% Re-bleeding Ib ... Re-bleeding #Forrest ... Risks #Grading #gastroenterology ... #EGD #clinical
Difficult Selective Biliary Cannulation (SBC)
Factors associated with difficult SBC:
 - SMALL PAPILLA: can be difficult to
insertion into the BD ... to pick up the correct ... ST upward (the BD ... Difficult #ercp #gastroenterology ... #management #diagnosis