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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Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Metaplasia/Barrett's Esophagus ... Measure Depth of Endoscope ... Measure Depth of Endoscope ... Criteria #Barretts #Esophagus ... #diagnosis #endoscopy
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
symptom metric • Endoscopy ... : Persistent endoscopic ... score < 20 • Endoscopy ... : Normal esophagus ... EoE #Response #diagnosis
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Procedures - Diagnostic ... endoscopy with ... ) - Capsule endoscopy ... LowRisk #HighRisk #Diagnosis
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Necrosis (Black Esophagus ... ) on Endoscopy ... Necrosis #Black #Esophagus ... #Endoscopy #EGD
Common Bile Duct Biliary Stone removal on ERCP

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Biliary #Stone #removal #extraction #ERCP
Common Bile Duct Biliary ... DrJBerrueta #Biliary ... gastroenterology #cbd #endoscopy
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
should receive endoscopic ... #Diagnosis #Gastroenterology ... Stigmata #EGD #Endoscopy
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
of Jackhammer Esophagus ... Consider further diagnostics ... #Jackhammer #Esophagus
Causes of Severe Acute Liver Injury
 - Ichemic hepatitis
 - Acute biliary obstruction
 - Drug-Induced liver
hepatitis - Acute biliary ... Hemochromatosis - Primary biliary ... Differential #Hepatology #Diagnosis
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... Bidirectional endoscopy ... biopsies Capsule endoscopy ... bidirectional endoscopy ... Evaluation #workup #diagnosis
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... (histological diagnosis ... BE - distal esophagus ... #Barretts #Esophagus ... Documentation #EGD #diagnosis