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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Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... - Diagnostic endoscopy ... ) - Capsule endoscopy ... #Endoscopic #Bleeding ... HighRisk #Diagnosis #Management
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... - If without bleeding ... #Tips #Tricks #management ... gastroenterology #fellows #endoscopy
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... #Prophylaxis #Endoscopy ... Gastroenterology #Management
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk of Rebleeding ... risk of further bleeding ... should receive endoscopic ... Gastroenterology #UpperGI #Rebleeding ... Stigmata #EGD #Endoscopy
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... are without endoscopic ... Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... on Upper Endoscopy ... Acute bleeding in ... active #Gastric #Bleeding ... #Upper #Endoscopy
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Junction By Depth Of Endoscope ... Measure Depth of Endoscope ... Measure Depth of Endoscope ... from the Depth of Endoscope ... Esophagus #diagnosis #endoscopy
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
symptom metric • Endoscopy ... : Persistent endoscopic ... symptom metric • Endoscopy ... score < 20 • Endoscopy
Colonoscopy Tips and Tricks 

By Dr. Steven Bollipo @stevenbollipo and Dr. Enrik Aguila @enrrikke

#Colonoscopy #Tips #Tricks
#Tips #Tricks #management ... gastroenterology #fellows #endoscopy
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