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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Colonoscopy Tips and Tricks 

By Dr. Steven Bollipo @stevenbollipo and Dr. Enrik Aguila @enrrikke

#Colonoscopy #Tips #Tricks
Colonoscopy Tips ... @enrrikke #Colonoscopy ... gastroenterology #fellows #endoscopy
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
Primer Guide to Calling ... History - Prior endoscopy ... & endoscopist ... GIConsult #Primer #Calling
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Functional Dyspepsia ... structurally normal endoscopy ... Early satiety #Functional ... Diagnosis #Management #algorithm
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
Primer - Guide to calling ... paracentesis - Prior endoscopy ... & endoscopist ( ... GIConsult #Primer #Calling
Colon Polyp Removal Algorithm - Endoscopy or Surgery Referral
Studies show polyp removal surgeries are performed at
Polyp Removal Algorithm ... - Endoscopy or ... #Colon #Polyp #Algorithm
Trichuris dysentery syndrome on sigmoidoscopy (whipworms)

An 8y child was referred for sigmoidoscopy from a pediatric unit.
paed unit for endoscopy ... sigmoidoscopy #colonoscopy
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Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Clinical decision algorithm ... GIM management Endoscopic
Treatment of Pouchitis
 • Microbiota-associated - Antibiotics (ciproflaxcin, metronidzole, tinidazole, amoxicillin)
 • Immune-mediated - Budesonide, Mesalamines;
• Structural/functional ... obstruction-fecal stasis - Endoscopic
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Peritoneal dialysis & colonoscopy ... #Prophylaxis #Endoscopy
Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening Algorithm ... Variceal #Screening #Algorithm ... varices #hepatology #endoscopy