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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gastroenterology algorithm diagnosis classification corticosteroids egd erefs flares grading ibd inflammatory pharmacology pregnancy reference refractory response score topical treatment
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 ... #Esophagitis #EoE
Eosinophilic Esophagitis (EoE) - Endoscopic ReFerence Score (EREFS) Edema (Loss of vascular markings): - Grade 0: Distinct
Eosinophilic Esophagitis ... (EoE) - Endoscopic ... Present #EREFS #EoE ... #Eosinophilic # ... Esophagitis #Endoscopic
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm Initial treatment with topical steroids Initial treatment with dietary elimination Continued EoE nonresponse:
Refractory Eosinophilic ... Esophagitis (EOE ... ) Management Algorithm ... #Eosinophilic # ... Esophagitis #Management
Eosinophilic Esophagitis (EoE) - Treatment Algorithm Medical therapy: • Proton pump inhibition • Topical corticosteroids Diet therapy •
Eosinophilic Esophagitis ... (EoE) - Treatment ... #Eosinophilic # ... Esophagitis #Treatment ... #Algorithm #management
IBD and Pregnancy: Managing Flares Laboratory Values - Endoscopy - Radiologic imaging - Surgery - Medication #inflammatory #boweldisease
Laboratory Values - Endoscopy ... #inflammatory #boweldisease ... Pregnancy #Flares #management
Eosinophilic Esophagitis (EoE) - Topical Corticosteroids • Liquid - Budesonide - 1 mg PO BID -
Eosinophilic Esophagitis ... (EoE) - Topical ... @GIreview #Eosinophilic ... #Esophagitis #EoE ... Corticosteroids #management
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