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 esophagitis algorithm treatment egd endoscopic gastroenteritis bleeding causes classification corticosteroids differential endoscopy erefs followup grading highrisk intervals lowrisk pharmacology
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
Eosinophilic Esophagitis ... Histology: Persistent eosinophilia ... Histology: Reduced eosinophilia ... score < 2 #Eosinophilic ... #Response #diagnosis
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 #polypectomy
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) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Eosinophilic Esophagitis ... (EoE) - Endoscopic ... Present #EREFS #EoE ... #Eosinophilic # ... ReFerence #Score #diagnosis
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
points from ASGE guideline ... Procedures - Diagnostic ... LowRisk #HighRisk #Diagnosis ... #Management #Guidelines
Secondary Causes of Esophageal Eosinophilia (EoE) - Differential Diagnosis • Gastroesophageal reflux disease • Eosinophilic gastrointestinal
of Esophageal Eosinophilia ... (EoE) - Differential ... Diagnosis • Gastroesophageal ... wasting syndrome #Eoe ... #Differential #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 ... testing directed #EoE ... #Eosinophilic # ... Treatment #Algorithm #management
Eosinophilic Gastroenteritis Management Algorithm - PPI x 8 weeks - Dietary therapy with Empiric Elimination or
Eosinophilic Gastroenteritis ... Management Algorithm ... x 4-8 wks #EoE ... #Eosinophilic # ... Gastroenteritis #Management
Eosinophilic Esophagitis (EoE) - Topical Corticosteroids • Liquid - Budesonide - 1 mg PO BID -
Eosinophilic Esophagitis ... (EoE) - Topical ... for treatment of EOE ... @GIreview #Eosinophilic ... Corticosteroids #management
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