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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10 results
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
Colonoscopy Followup ... years: Normal colonoscopy ... serrated polyps #Colonoscopy ... guidelines #management #polypectomy
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
forceps biopsy (EGD ... Procedures - Polypectomy ... - Resections (ESD ... Gastroenterology #EGD
Cold Snare Polypectomy - Tips and Tricks
 - Before initiating cold snare polypectomy, it is important
Cold Snare Polypectomy ... initiating cold snare polypectomy ... channel of the colonoscope ... to examine the polypectomy ... gastroenterology #fellows #colonoscopy
Algorithm for the management of colorectal lesions
Pedunculated
Non-Pedunculated
 - Non-invasive
 - Suspected submucosal invasion

- Gastroenterology Review @GIreview

#Colorectal
Algorithm for the ... #Colorectal #algorithm ... #lesions #colonoscopy
Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
Surveillance #Hepatology #EGD ... #PrimaryCare #Algorithm
Hepatocellular Carcinoma (HCC) in Cirrhosis - Management Algorithm

Very early (0) - Single <2 cm, Preserved liver
Cirrhosis - Management Algorithm ... transplantable HCC, End-stage ... Cirrhosis #Management #Algorithm
Colon Ischemia - Diagnosis Algorithm
Mild disease - Typical symptoms of Cl with none of the associated
Ischemia - Diagnosis Algorithm ... imaging, gangrene on colonoscopic ... on imaging by colonoscopy ... Ischemia #Diagnosis #Algorithm
Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening Algorithm ... Variceal #Screening #Algorithm ... #EGD #varices #
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Peritoneal dialysis & colonoscopy ... Prophylaxis #Endoscopy #EGD
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... interventional radiology; OGD ... #Management #algorithm