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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Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Procedures - Diagnostic ... forceps biopsy (EGD ... - EUS with out ... Gastroenterology #EGD ... LowRisk #HighRisk #Diagnosis
Endoscopic Ultrasound (EUS) - 6 Landmarks

#Endoscopic #Ultrasound #EUS #Landmarks #diagnosis #gastroenterology
Endoscopic Ultrasound ... (EUS) - 6 Landmarks ... #Endoscopic ... #Ultrasound #EUS ... #Landmarks #diagnosis
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Prague Criteria ... Measure Depth of Endoscope ... Junction #Prague #Criteria ... Barretts #Esophagus #diagnosis ... #endoscopy #EGD
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
symptom metric • Endoscopy ... : Persistent endoscopic ... symptom metric • Endoscopy ... score < 20 • Endoscopy ... EoE #Response #diagnosis
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... Slippage at UES ... take time at LES/UES ... Nail #Removal #Endoscopy ... #egd #esophagogastroduodenoscopy
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Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
should receive endoscopic ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD ... #Endoscopy
Pancreatic Cyst Diagnosis on Endoscopic Ultrasound EUS
Features of low cancer risk: No symptoms caused by the
Pancreatic Cyst Diagnosis ... on Endoscopic Ultrasound ... EUS Features of ... Pancreatic #Cyst #Diagnosis ... #EUS #risk #gastroenterology
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Esophagitis (EoE) - Endoscopic ... #Esophagitis #Endoscopic ... ReFerence #Score #diagnosis ... gastroenterology #EGD
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
(histological diagnosis ... w/ Prague C&M criteria ... Documentation #EGD ... #diagnosis #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... bleeding - EUS-FNA ... prosthesis - EUS-FNA ... #Prophylaxis #Endoscopy ... #EGD #Indications