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 ... Polypectomy - Variceal ... Gastroenterology #EGD ... LowRisk #HighRisk #Diagnosis
Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
surveillance of varices ... -2/fulltext #varices ... #Variceal #Screening ... Surveillance #Hepatology #EGD
Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening ... Cirrhosis No varices ... years Small varices ... Screening #Algorithm #EGD ... #varices #hepatology
Sarin's Classification of Gastric Varices
 - Gastroesophageal Varices (GOVs)
 - Isolated Gastric Varices (IGVs)

Dr. Katarzyna Monika
Classification of Gastric Varices ... Gastroesophageal Varices ... Isolated Gastric Varices ... Classification #Gastric #Varices ... #diagnosis #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Bleeding Esophageal Varices ... that specific variceal ... - Varices in ... EGD and the Banding ... fellows #endoscopy #egd
EUS assessment of Gastric Varices - Soderlund Classification

Dr. Katarzyna Monika Pawlak @KM_Pawlak

#Soderlund #Classification #EUS #Gastric #Varices
assessment of Gastric Varices ... #EUS #Gastric #Varices ... #diagnosis #gastroenterology
Cirrhosis Timeline and Mortality Rate
Compensated Cirrhosis
Stage 1 - No varices (Annual Mortality Rate 1%)
Stage 2 -
Stage 1 - No varices ... 1%) Stage 2 - Varices ... Mortality #Timeline #diagnosis
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... hold from sharp end ... not, trail sharp end ... Removal #Endoscopy #egd
Upper Endoscopy EGD Visualization Checklist

#Upper #Endoscopy #EGD #Visualization #Checklist #gastroenterology #esophagogastroduodenoscopy
Upper Endoscopy EGD ... Upper #Endoscopy #EGD
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... EGD and Biopsy ... black #esophagus #diagnosis