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
Procedures - Diagnostic ... forceps biopsy (EGD ... Gastroenterology #EGD ... LowRisk #HighRisk #Diagnosis ... #Management #Guidelines
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
Eosinophilic Esophagitis ... symptom metric • Endoscopy ... : Persistent endoscopic ... #Eosinophilic #Esophagitis ... EoE #Response #diagnosis
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... EGD and Biopsy ... Differential: Melanosis ... Pseudomembranous esophagitis ... black #esophagus #diagnosis
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS)
Edema (Loss of vascular markings):
 - Grade 0: Distinct
Eosinophilic Esophagitis ... (EoE) - Endoscopic ... #Endoscopic #ReFerence ... #Score #diagnosis ... gastroenterology #EGD
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 ... Barretts #Esophagus #diagnosis ... #endoscopy #EGD
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
should receive endoscopic ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD ... #Endoscopy
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... Bidirectional endoscopy ... bidirectional endoscopy ... change medical management ... Evaluation #workup #diagnosis
Functional Dyspepsia - Pathophysiology, Diagnosis and Management
Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Pathophysiology, Diagnosis ... and Management ... months before diagnosis ... structurally normal endoscopy ... #Management #algorithm
Gastrointestinal Causes of Iron Deficiency Anemia
 • Mass lesions: Carcinoma, Large polyps
 • Inflammatory: Reflux esophagitis,
Inflammatory: Reflux esophagitis ... Anemia #Causes #differential ... #diagnosis
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
algorithm for GIM management ... Endoscopic surveillance ... Metaplasia #GIM #diagnosis ... #management #gastroenterology