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 eosinophilic diagnosis algorithm egd bleeding classification erefs grading guidelines highrisk lowrisk pharmacology polyp reference referral response risks score surgery
Eosinophilic Esophagitis (EoE) - Spectrum of Response Non-response: • Histology: Persistent eosinophilia, ≥ 15 eos/hpf • Symptoms:
(EoE) - Spectrum ... symptom metric • Endoscopy ... : Persistent endoscopic ... symptom metric • Endoscopy ... score < 20 • Endoscopy
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Endoscopic Bleeding ... - Diagnostic endoscopy ... forceps biopsy (EGD, Colo ... ) - Capsule endoscopy ... HighRisk #Diagnosis #Management
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 #ReFerence
Colon Polyp Removal Algorithm - Endoscopy or Surgery Referral Studies show polyp removal surgeries are performed at
Colon Polyp Removal ... Algorithm - Endoscopy ... for surgery #Colon ... Surgery #Referral #management
Eosinophilic Esophagitis (EoE) - Treatment Algorithm Medical therapy: • Proton pump inhibition • Topical corticosteroids Diet therapy •
Eosinophilic Esophagitis ... (EoE) - Treatment ... inhibition • Topical corticosteroids ... testing directed #EoE ... Treatment #Algorithm #management
Eosinophilic Esophagitis (EoE) - Topical Corticosteroids • Liquid - Budesonide - 1 mg PO BID -
Eosinophilic Esophagitis ... Corticosteroids ... #Eosinophilic #Esophagitis ... Corticosteroids ... #management #pharmacology
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