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 ... endoscopy with ... ) - Capsule endoscopy ... #Endoscopic #Bleeding ... #Management #Guidelines
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Junction By Depth Of Endoscope ... Measure Depth of Endoscope ... Measure Depth of Endoscope ... from the Depth of Endoscope ... #diagnosis #endoscopy
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Acute Esophageal ... Necrosis (Black Esophagus ... ) on Endoscopy ... Necrosis #Black #Esophagus ... #Endoscopy #EGD
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 ... : Normal esophagus
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
, diagnose iron ... Bidirectional endoscopy ... biopsies Capsule endoscopy ... bidirectional endoscopy ... change medical management
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Management of Jackhammer ... Esophagus or Esophageal ... Consider further diagnostics ... #Jackhammer #Esophagus ... #Esophageal #Spasm
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... chest pain, Sepsis Diagnosis ... KBrag_MD #Acute #Esophageal ... Necrosis #black #esophagus ... #diagnosis #management
Boerhaave Syndrome on Endoscopy - Pleural Space

Massive Spontaneous Esophageal Perforation (Boerhaave Syndrome) in active COVID 19
Boerhaave Syndrome on Endoscopy ... Massive Spontaneous Esophageal ... Syndrome #clinical #endoscopy ... #video #EGD #esophagus
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Pathophysiology, Diagnosis ... and Management ... months before diagnosis ... structurally normal endoscopy ... #Management #algorithm
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
algorithm for GIM management ... Endoscopic surveillance ... Metaplasia #GIM #diagnosis ... #management #gastroenterology