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 ... #Tips #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 ... Gastroenterology #Management
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... - Diagnostic endoscopy ... ) - Capsule endoscopy ... #Endoscopic #Bleeding ... HighRisk #Diagnosis #Management
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Junction By Depth Of Endoscope ... Measure Depth of Endoscope ... Measure Depth of Endoscope ... from the Depth of Endoscope ... Esophagus #diagnosis #endoscopy
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
symptom metric • Endoscopy ... : Persistent endoscopic ... symptom metric • Endoscopy ... score < 20 • Endoscopy
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
Colonoscopy Followup ... years: Normal colonoscopy ... serrated polyps #Colonoscopy ... gastroenterology #guidelines #management
Algorithm for the management of colorectal lesions
Pedunculated
Non-Pedunculated
 - Non-invasive
 - Suspected submucosal invasion

- Gastroenterology Review @GIreview

#Colorectal
Algorithm for the management ... algorithm #lesions #colonoscopy ... #management #neoplasia
Ascaris Lumbricoides (Roundworm) on Colonoscopy

#Ascaris #Lumbricoides #Ascariasis #Roundworm #Colonoscopy #clinical #gastroenterology #parasite
(Roundworm) on Colonoscopy ... Ascariasis #Roundworm #Colonoscopy
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Bidirectional endoscopy ... biopsies Capsule endoscopy ... bidirectional endoscopy ... change medical management
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
should receive endoscopic ... Stigmata #EGD #Endoscopy