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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gastroenterology diagnosis management hepatology algorithm egd endoscopy cirrhosis differential clinical pathophysiology treatment esophageal syndrome biliary gastric bowel causes colonoscopy disease
Chicago Classification of Esophageal Motility Disorders Achalasia EGJ Outflow Obstruction Distal Esophageal Spasm Jackhammer Esophagus Absent Contractility Ineffective Motility Rapid Contraction #Chicago #Classification #Esophageal
of Esophageal Motility ... Spasm Jackhammer Esophagus ... Contractility Ineffective Motility ... Classification #Esophageal #Motility
Management of Jackhammer Esophagus or Esophageal Spasm Step 1: Assess the severity of the motility disturbance Step 2:
of Jackhammer Esophagus ... severity of the motility ... of presentation and ... #Jackhammer #Esophagus
Barrett's Esophagus (BE) Documentation 1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... moderate - insufflate and ... BE - distal esophagus ... #Barretts #Esophagus
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus 1) Ensure Hiatus Hernia Is Recognised By
Metaplasia/Barrett's Esophagus ... Circumferential and ... Criteria #Barretts #Esophagus
5 year mortality and Survival in Alcohol Related Liver Disease patients admitted to the ICU Source data:
5 year mortality ... and Survival in ... AlcoholRelatedLiverDisease #ALD ... #ARLD #survival ... #mortality #patientinfo
Cirrhosis Timeline and Mortality Rate Compensated Cirrhosis Stage 1 - No varices (Annual Mortality Rate 1%) Stage 2 -
Cirrhosis Timeline and ... Mortality Rate ... varices (Annual Mortality ... Varices+ (Annual Mortality ... Ascites+ (Annual Mortality
Acute Esophageal Necrosis History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis Diagnosis EGD and Biopsy Differential: Melanosis, Melanoma,
History: Hematemesis and ... Diagnosis EGD and ... mlVF, PPI gtt, GI and ... Necrosis #black #esophagus
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy Dr. Joaquín Berrueta Mezzera @DrJBerrueta #Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Necrosis (Black Esophagus ... Necrosis #Black #Esophagus
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 Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Endoscopy: Normal esophagus
Esophageal Motility Disorders Obstructive Physiology: EGJ, Distal Esophagus Distal Contractility: Hyper-contractile, Hypo-contractile Type I achalasia, Type II achalasia, Type
Esophageal Motility ... Physiology: EGJ, Distal Esophagus ... #Esophageal #Motility
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