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 ... Risk - Summary ... guideline Low Risk ... - EUS with out ... #Endoscopic #Bleeding
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... Prevalence and Risk ... value for the risk ... of further bleeding ... should receive endoscopic
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Rebleeding risks ... are without endoscopic ... IIa - Non-Bleeding ... #Risks #Grading
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 ... active #Gastric #Bleeding ... #Upper #Endoscopy
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
prevalence and risks ... of further bleeding ... vessel; E, active bleeding ... Gastroenterology #UpperGI ... Stigmata #EGD #Endoscopy
Pancreatic Cyst Diagnosis on Endoscopic Ultrasound EUS
Features of low cancer risk: No symptoms caused by the
Cyst Diagnosis on Endoscopic ... Ultrasound EUS ... of low cancer risk ... of high cancer risk ... Cyst #Diagnosis #EUS
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
and Management Risk ... structurally normal endoscopy ... 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 ... solid lesions (upper ... infection and high risk
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
High risk of injury ... Slippage at UES ... take time at LES/UES ... Nail #Removal #Endoscopy
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... - If without bleeding ... in the mid or upper ... gastroenterology #fellows #endoscopy