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
Endoscopic Bleeding ... - Diagnostic endoscopy ... ) - Capsule endoscopy ... - EUS with out ... #Endoscopic #Bleeding
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk of Rebleeding ... risk of further bleeding ... should receive endoscopic ... Gastroenterology #UpperGI #Rebleeding ... Stigmata #EGD #Endoscopy
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
symptom metric • Endoscopy ... : Persistent endoscopic ... /hpf 1-6 eos/hpf ... symptom metric • Endoscopy ... score < 20 • 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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Endoscopic Ultrasound (EUS) - 6 Landmarks

#Endoscopic #Ultrasound #EUS #Landmarks #diagnosis #gastroenterology
Endoscopic Ultrasound ... (EUS) - 6 Landmarks ... #Endoscopic ... #Ultrasound #EUS
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... are without endoscopic ... Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
the stigmata of bleeding ... risks of further bleeding ... visible vessel; E, active ... bleeding. ... Stigmata #EGD #Endoscopy
Endoscopic Ultrasound Basics - Gl wall structure- how many layers?
1st layer - hyperechoic - corresponds to
Endoscopic Ultrasound ... layers #structure #Endoscopic ... #Ultrasound #eus
Pancreatic Cyst Diagnosis on Endoscopic Ultrasound EUS
Features of low cancer risk: No symptoms caused by the
Cyst Diagnosis on Endoscopic ... Ultrasound EUS ... Cyst #Diagnosis #EUS
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... - EUS-FNA of ... the setting of active ... #Prophylaxis #Endoscopy