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
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... - Diagnostic endoscopy ... ) - Capsule endoscopy ... #Endoscopic #Bleeding ... HighRisk #Diagnosis #Management
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
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
Trichuris dysentery syndrome on sigmoidoscopy (whipworms)

An 8y child was referred for sigmoidoscopy from a pediatric unit.
paed unit for endoscopy ... sigmoidoscopy #colonoscopy
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Diagnosis and Management ... structurally normal endoscopy ... Pathophysiology #Diagnosis #Management
Colon Polyp Removal Algorithm - Endoscopy or Surgery Referral
Studies show polyp removal surgeries are performed at
Removal Algorithm - Endoscopy ... Surgery #Referral #management
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
History - Prior endoscopy ... last meal - Treatment
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
algorithm for GIM management ... Endoscopic surveillance ... GIM #diagnosis #management