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
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
Eosinophilic Esophagitis ... symptom metric • Endoscopy ... : Persistent endoscopic ... score < 20 • Endoscopy ... #Eosinophilic #Esophagitis
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
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Eosinophilic Esophagitis ... (EoE) - Endoscopic ... #Eosinophilic #Esophagitis ... #Endoscopic #ReFerence
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
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
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Pseudomembranous esophagitis ... Klebsiella, pneumoniae) Management ... esophagus #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