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 egd management gastric clinical grading prevalence rebleeding risks stigmata ulcers uppergi antibiotic banding dyspepsia eoe eosinophilic erefs esophageal esophagitis
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Endoscopic Bleeding ... endoscopy with ... ) - Capsule endoscopy ... only) - EMR (endoscopic ... #Endoscopic #Bleeding
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
Forrest Classification ... for Peptic Ulcer Bleeding ... are without endoscopic ... Ib - Oozing Bleed ... #Forrest #Classification
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding. The stigmata of
risk of further bleeding ... should receive endoscopic ... #Diagnosis #Gastroenterology ... #UpperGI #Rebleeding ... Stigmata #EGD #Endoscopy
Brisk Gastric Bleeding on Upper Endoscopy 87 year old female. Acute bleeding in stomach. Dieulafoy’s Lesion
Brisk Gastric Bleeding ... on Upper Endoscopy ... Acute bleeding in ... RodriguezParra_ #active ... #Upper #Endoscopy
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 Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; A, clean
Classification of ... the stigmata of bleeding ... visible vessel; E, active ... #Diagnosis #Gastroenterology ... Stigmata #EGD #Endoscopy
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Esophagitis (EoE) - Endoscopic ... #Esophagitis #Endoscopic ... ReFerence #Score #diagnosis ... #classification
Endoscopy - Management of Bleeding Esophageal Varices What to Band? - Always find the varix that
Endoscopy - Management ... but anticipate active ... upon scoping for ... patient is not actively ... gastroenterology #fellows #endoscopy
Functional Dyspepsia - Pathophysiology, Diagnosis and Management Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Pathophysiology, Diagnosis ... months before diagnosis ... structurally normal endoscopy ... Pathophysiology #Diagnosis ... #Management #algorithm
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... GIM management Endoscopic ... Metaplasia #GIM #diagnosis
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... the setting of active ... #Prophylaxis #Endoscopy
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