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 ... Metaplasia (GIM ... pylori) gastritis Clinical ... management Endoscopic ... diagnosis #management #gastroenterology
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... should receive endoscopic ... #Diagnosis #Gastroenterology ... UpperGI #Rebleeding #Gastric ... Stigmata #EGD #Endoscopy
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... risks are without endoscopic ... 100% Re-bleeding Ib ... Risks #Grading #gastroenterology ... #EGD #clinical
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... on Upper Endoscopy ... Bleeding #Upper #Endoscopy ... #EGD #gastroenterology ... #clinical
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Peritoneal dialysis & colonoscopy ... cardiac devices (ICD ... #Prophylaxis #Endoscopy ... #Indications #Gastroenterology