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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Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... EGD and the Banding ... adequately, pull back ... #Tricks #management ... fellows #endoscopy #egd
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
forceps biopsy (EGD ... Polypectomy - Variceal ... - Resections (ESD ... Gastroenterology #EGD ... HighRisk #Diagnosis #Management
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Sepsis Diagnosis EGD ... Klebsiella, pneumoniae) Management ... Esophageal #Necrosis #black ... esophagus #diagnosis #management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Peritoneal dialysis & colonoscopy ... Prophylaxis #Endoscopy #EGD ... Gastroenterology #Management