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 ... Procedures - Diagnostic ... - EUS with out ... #Endoscopic #Bleeding ... LowRisk #HighRisk #Diagnosis
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
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
symptom metric • Endoscopy ... : Persistent endoscopic ... symptom metric • Endoscopy ... score < 20 • Endoscopy ... EoE #Response #diagnosis
Endoscopic Ultrasound (EUS) - 6 Landmarks

#Endoscopic #Ultrasound #EUS #Landmarks #diagnosis #gastroenterology
Endoscopic Ultrasound ... (EUS) - 6 Landmarks ... #Endoscopic ... #Ultrasound #EUS ... #Landmarks #diagnosis
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Functional Dyspepsia ... Pathophysiology, Diagnosis ... structurally normal endoscopy ... Early satiety #Functional ... #Management #algorithm
Pancreatic Cyst Diagnosis on Endoscopic Ultrasound EUS
Features of low cancer risk: No symptoms caused by the
Pancreatic Cyst Diagnosis ... on Endoscopic Ultrasound ... EUS Features of ... Pancreatic #Cyst #Diagnosis ... #EUS #risk #gastroenterology
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 ... #Diagnosis #Gastroenterology ... Stigmata #EGD #Endoscopy
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... GIM management Endoscopic ... Metaplasia #GIM #diagnosis
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Pathophysiology, Diagnosis ... and Management Algorithm ... Younger age, Other functional ... Pathophysiology #Diagnosis ... #Management #Algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

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