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 ... - EUS with out ... Polypectomy - Variceal ... #Endoscopic #Bleeding
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... and jiggle the tip ... #variceal #Tips ... gastroenterology #fellows #endoscopy
Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening ... Algorithm in Cirrhosis ... No varices -> ... #Screening #Algorithm ... hepatology #endoscopy
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
GI surgeries, TIPS ... paracentesis - Prior endoscopy ... up - Liver US
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
The tip was beveled ... Slippage at UES ... take time at LES/UES ... Nail #Removal #Endoscopy
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