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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Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
Eosinophilic Esophagitis ... Histology: Persistent eosinophilia ... Histology: Reduced eosinophilia ... Endoscopy: Normal esophagus ... EoE #Response #diagnosis
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
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease
Mild:
 • Trial of PPI
 • Trial
Eosinophilic Gastroenteritis ... : Treatment Options ... • Additional diagnostic ... Gastroenteritis #Treatment ... #management #gastroenterology
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 ... Klebsiella, pneumoniae) Management ... Necrosis #black #esophagus ... #diagnosis #management
Approach to the Diagnosis and Treatment of Spontaneous Bacterial Peritonitis. This algorithm provides a general approach
Approach to the Diagnosis ... and Treatment of ... approach to the diagnosis ... and management ... #Diagnosis #Management
An algorithm of diagnostic and therapeutic recommendations for patients with microscopic colitis.

#Microscopic #Colitis #Lymphocytic #Collagenous #Algorithm
An algorithm of diagnostic ... Collagenous #Algorithm #Management ... #Treatment #Gastroenterology
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 Initial treatment ... EoE #Refractory #Eosinophilic ... #Esophagitis #Management
Eosinophilic Esophagitis (EoE) - Treatment Algorithm
Medical therapy:
 • Proton pump inhibition
 • Topical corticosteroids
Diet therapy
 •
Eosinophilic Esophagitis ... (EoE) - Treatment ... directed #EoE #Eosinophilic ... #Esophagitis #Treatment ... #Algorithm #management
Eosinophilic Gastroenteritis Management Algorithm
 - PPI x 8 weeks
 - Dietary therapy with Empiric Elimination or
Eosinophilic Gastroenteritis ... Management Algorithm ... 8 wks #EoE #Eosinophilic ... Gastroenteritis #Management ... #Algorithm #Treatment
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
regarding the diagnosis ... and treatment of ... hemochromatosis #algorithm #diagnosis ... #management #hepatology