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 ... forceps biopsy (EGD ... #Endoscopic #Bleeding ... #Risks #Gastroenterology ... #EGD #LowRisk #
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
on Upper Endoscopy ... Acute bleeding in ... RodriguezParra_ #active ... #Upper #Endoscopy ... #EGD #gastroenterology
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Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... are without endoscopic ... #Forrest #Classification ... Risks #Grading #gastroenterology ... #EGD #clinical
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... visible vessel; E, active ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD ... #Endoscopy
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
risk of further bleeding ... should receive endoscopic ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD ... #Endoscopy
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
EGD Nail Removal ... beveled so kept slipping ... Nail #Removal #Endoscopy ... #egd #esophagogastroduodenoscopy ... #gastroenterology
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Bleeding Dieulafoy's Lesion within the duodenum - Resolved with Clip

Carlos Zavaleta MD FACS @CMZavaletaMD

#Dieulafoys #Lesion #GIBleed
Bleeding Dieulafoy's ... GIBleed #duodenum #Clipping ... #EGD #Endoscopy
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Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... EGD and the Banding ... Tricks #management #gastroenterology ... #fellows #endoscopy ... #egd #banding
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Esophagitis (EoE) - Endoscopic ... #Esophagitis #Endoscopic ... Score #diagnosis #classification ... #gastroenterology ... #EGD #grading
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

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