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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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
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
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
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
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
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
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
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
#Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
(histological diagnosis ... Documentation #EGD ... #diagnosis #gastroenterology