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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12 results
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... EGD and Biopsy ... Klebsiella, pneumoniae) Management ... Necrosis #black #esophagus ... #diagnosis #management
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... (histological diagnosis ... BE - distal esophagus ... Documentation #EGD ... #diagnosis #gastroenterology
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 ... Step 4: Medical Management ... #Jackhammer #Esophagus
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Procedures - Diagnostic ... forceps biopsy (EGD ... Gastroenterology #EGD ... LowRisk #HighRisk #Diagnosis ... #Management #Guidelines
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Metaplasia/Barrett's Esophagus ... Criteria #Barretts #Esophagus ... #diagnosis #endoscopy ... #EGD #gastroenterology
Bottlecap enlodged in the Esophagus on xray and egd
Opening a beer with your teeth ensures the
enlodged in the Esophagus ... on xray and egd ... #Bottlecap #Esophagus ... #clinical #chestxray ... cxr #radiology #egd
Esophageal Motility Disorders
Obstructive Physiology: EGJ, Distal Esophagus
Distal Contractility: Hyper-contractile, Hypo-contractile
Type I achalasia, Type II achalasia, Type
Obstructive Physiology: EGJ ... , Distal Esophagus ... Ill achalasia, EGJ ... contractility, End-stage ... gastroenterology #diagnosis
Boerhaave Syndrome on Endoscopy 

Boerhaave Syndrome with complete left wall dehiscence. This one went to surgery
Boerhaave #Syndrome #clinical ... endoscopy #video #EGD ... #esophagus
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
pylori) gastritis Clinical ... algorithm for GIM management ... Metaplasia #GIM #diagnosis ... #management #gastroenterology
Pancreatic cystic lesions (PCLs)
 - classified into simple retention cysts, pseudocysts and cystic neoplasms 
 -
histological and clinical ... characteristics - various diagnostic ... gastroenterology #diagnosis ... #management #differential