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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Colonoscopy Tips and Tricks 

By Dr. Steven Bollipo @stevenbollipo and Dr. Enrik Aguila @enrrikke

#Colonoscopy #Tips #Tricks
Colonoscopy Tips ... @enrrikke #Colonoscopy ... #Tips #Tricks #management ... #gastroenterology ... #fellows #endoscopy
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
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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 ... #gastroenterology
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
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Bidirectional endoscopy ... perform routine gastric ... bidirectional endoscopy ... change medical management ... workup #diagnosis #gastroenterology
IBD and Pregnancy: Managing Flares
Laboratory Values - Endoscopy - Radiologic imaging - Surgery - Medication

#inflammatory #boweldisease
IBD and Pregnancy ... Laboratory Values - Endoscopy ... #boweldisease #IBD ... Pregnancy #Flares #management ... #gastroenterology
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
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

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