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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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
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Endoscopically Suspected Esophageal ... Metaplasia/Barrett's Esophagus ... Measure Depth of Endoscope ... Criteria #Barretts #Esophagus ... #diagnosis #endoscopy
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Procedures - Diagnostic ... - Variceal banding ... LowRisk #HighRisk #Diagnosis ... #Management #Guidelines
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
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
symptom metric • Endoscopy ... : Persistent endoscopic ... score < 20 • Endoscopy ... : Normal esophagus ... EoE #Response #diagnosis
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... endoscopically suspected esophageal ... (histological diagnosis ... BE - distal esophagus ... Documentation #EGD #diagnosis
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... #Bleeding #Esophageal ... #Tips #Tricks #management ... gastroenterology #fellows #endoscopy
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... Bidirectional endoscopy ... bidirectional endoscopy ... change medical management ... Evaluation #workup #diagnosis
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