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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gastroenterology endoscopy management clinical diagnosis eosinophilic esophagitis gastric hepatology variceal varices classification endoscopic grading prevalence rebleeding risks screening stigmata treatment
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... Clot - 20-30% Re-bleeding ... gastroenterology #EGD
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Endoscopic Bleeding ... forceps biopsy (EGD ... - Resections (ESD ... Endoscopy #Endoscopic #Bleeding ... Gastroenterology #EGD
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding. The stigmata of
Prevalence and Risk of Rebleeding ... risk of further bleeding ... Gastroenterology #UpperGI #Rebleeding ... Prevalence #Stigmata #EGD
Brisk Gastric Bleeding on Upper Endoscopy 87 year old female. Acute bleeding in stomach. Dieulafoy’s Lesion
Brisk Gastric Bleeding ... Acute bleeding in ... active #Gastric #Bleeding ... Upper #Endoscopy #EGD
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 Screening and surveillance of varices in patients with cirrhosis. - No for screening need if platelets
Surveillance #Hepatology #EGD ... #PrimaryCare #Algorithm
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Eosinophilic Esophagitis (EoE ... Present #EREFS #EoE ... gastroenterology #EGD
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; A, clean
the stigmata of bleeding ... risks of further bleeding ... vessel; E, active bleeding ... Gastroenterology #UpperGI #Rebleeding ... Prevalence #Stigmata #EGD
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. Shock index (SI) is calculated by
Management algorithm ... gastrointestinal bleeding ... interventional radiology; OGD ... #Management #algorithm ... #lower #GIBleeding
Endoscopy - Management of Bleeding Esophageal Varices What to Band? - Always find the varix that
Management of Bleeding ... anticipate active bleeding ... - If without bleeding ... EGD and the Banding ... fellows #endoscopy #egd
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
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