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 ... ) - Capsule endoscopy ... - EUS with out ... #Endoscopic #Bleeding
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
symptom metric • Endoscopy ... : Persistent endoscopic ... /hpf 1-6 eos/hpf ... symptom metric • Endoscopy ... score < 20 • Endoscopy
Endoscopic Ultrasound (EUS) - 6 Landmarks

#Endoscopic #Ultrasound #EUS #Landmarks #diagnosis #gastroenterology
Endoscopic Ultrasound ... (EUS) - 6 Landmarks ... #Endoscopic ... #Ultrasound #EUS
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
serology first Small bowel ... Bidirectional endoscopy ... biopsies Capsule endoscopy ... bidirectional endoscopy ... identification of small bowel
Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
Causes of Small Bowel ... : Inflammatory Bowel ... purpura, Small bowel ... Plummer-Vinson syndrome ... , Inherited syndromes
Pancreatic Cyst Diagnosis on Endoscopic Ultrasound EUS
Features of low cancer risk: No symptoms caused by the
Cyst Diagnosis on Endoscopic ... Ultrasound EUS ... Cyst #Diagnosis #EUS
Irritable Bowel Syndrome (IBS) - Pathophysiology, Diagnosis and Management Algorithm
Risk factors: Previous acute enteric infection, Female
Irritable Bowel ... Syndrome (IBS) - ... functional somatic syndromes ... IBS #Irritable #Bowel ... #Syndrome #Pathophysiology
Endoscopic Ultrasound Basics - Gl wall structure- how many layers?
1st layer - hyperechoic - corresponds to
Endoscopic Ultrasound ... layers #structure #Endoscopic ... #Ultrasound #eus
Trichuris dysentery syndrome on sigmoidoscopy (whipworms)

An 8y child was referred for sigmoidoscopy from a pediatric unit.
Trichuris dysentery syndrome ... paed unit for endoscopy ... Trichuris #dysentery #syndrome
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
Slippage at UES ... take time at LES/UES ... Nail #Removal #Endoscopy