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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Colonoscopy Tips and Tricks 

By Dr. Steven Bollipo @stevenbollipo and Dr. Enrik Aguila @enrrikke

#Colonoscopy #Tips #Tricks
Colonoscopy Tips ... @enrrikke #Colonoscopy ... Tricks #management #gastroenterology ... #fellows #endoscopy
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
Eosinophilic Esophagitis ... symptom metric • Endoscopy ... : Persistent endoscopic ... score < 20 • Endoscopy ... Response #diagnosis #gastroenterology
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Eosinophilic Esophagitis ... (EoE) - Endoscopic ... #EREFS #EoE #Eosinophilic ... #Esophagitis #Endoscopic ... classification #gastroenterology
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis
 • Gastroesophageal reflux disease
 • Eosinophilic gastrointestinal
of Esophageal Eosinophilia ... (EoE) - Differential ... reflux disease • Eosinophilic ... #Differential # ... Secondary #Causes #gastroenterology
EGD Nail Removal in the Duodenum
6y M, Hx of 2.5" carpenter's Nail ingestion 3hrs. Very sharp
Few steps to follow ... Nail #Removal #Endoscopy ... esophagogastroduodenoscopy #gastroenterology
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Cold Snare Polypectomy - Tips and Tricks
 - Before initiating cold snare polypectomy, it is important
channel of the colonoscope ... Tricks#management #gastroenterology ... #fellows #colonoscopy
Polyp Incidence on Colonoscopy
Tubular adenoma - 47.2%
Hyperplastic polyp - 16.0%
Tubulovillous adenoma - 17.6%
Normal - 5.6%
Inflammatory polyp
Polyp Incidence on Colonoscopy ... Polyps #Incidence #Colonoscopy ... #differential # ... diagnosis #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... Tricks #management #gastroenterology ... #fellows #endoscopy
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Peritoneal dialysis & colonoscopy ... #Prophylaxis #Endoscopy ... #Indications #Gastroenterology