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 algorithm treatment acute black causes classification corticosteroids differential egd endoscopic erefs esophageal gastroenteritis grading necrosis pharmacology reference refractory response
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Eosinophilic Esophagitis ... Histology: Persistent eosinophilia ... Endoscopy: Normal esophagus ... #Esophagitis #EoE ... #Response #diagnosis
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis • Gastroesophageal reflux disease • Eosinophilic gastrointestinal
(EoE) - Differential ... Diagnosis • Gastroesophageal ... wasting syndrome #Eoe ... #esophagitis #Eosinophilic ... #Differential #Diagnosis
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Eosinophilic Esophagitis ... (EoE) - Endoscopic ... Present #EREFS #EoE ... #Eosinophilic # ... ReFerence #Score #diagnosis
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm Initial treatment with topical steroids Initial treatment with dietary elimination Continued EoE nonresponse:
Refractory Eosinophilic ... Esophagitis (EOE ... ) Management Algorithm ... #Eosinophilic # ... Esophagitis #Management
Eosinophilic Esophagitis (EoE) - Treatment Algorithm Medical therapy: • Proton pump inhibition • Topical corticosteroids Diet therapy •
Eosinophilic Esophagitis ... (EoE) - Treatment ... #Eosinophilic # ... Esophagitis #Treatment ... #Algorithm #management
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 ... Pseudomembranous esophagitis ... Klebsiella, pneumoniae) Management ... Necrosis #black #esophagus ... #diagnosis #management
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease Mild: • Trial of PPI • Trial
Eosinophilic Gastroenteritis ... • Additional diagnostic ... as CT scan #EoE ... #Eosinophilic # ... Gastroenteritis #Treatment #management
Eosinophilic Esophagitis (EoE) - Topical Corticosteroids • Liquid - Budesonide - 1 mg PO BID -
Eosinophilic Esophagitis ... (EoE) - Topical ... @GIreview #Eosinophilic ... #Esophagitis #EoE ... Corticosteroids #management
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