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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eosinophilic gastroenterology algorithm diagnosis gastroenteritis classification egd erefs grading ileal pharmacology pouchitis reference refractory response score topical
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
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
Eosinophilic Esophagitis (EoE) - Treatment Algorithm Medical therapy: • Proton pump inhibition • Topical corticosteroids Diet therapy •
Eosinophilic Esophagitis ... (EoE) - Treatment ... inhibition • Topical corticosteroids ... #Treatment #Algorithm ... #management #gastroenterology
Refractory Eosinophilic Esophagitis (EOE) Management Algorithm Initial treatment with topical steroids Initial treatment with dietary elimination Continued EoE nonresponse:
Refractory Eosinophilic Esophagitis ... (EOE) Management ... #EoE #Refractory ... #Eosinophilic #Esophagitis ... #Management #Algorithm
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease Mild: • Trial of PPI • Trial
Gastroenteritis: Treatment ... plus • Oral corticosteroids ... as CT scan #EoE ... Gastroenteritis #Treatment ... #management #gastroenterology
Eosinophilic Esophagitis (EoE) - Topical Corticosteroids • Liquid - Budesonide - 1 mg PO BID -
Eosinophilic Esophagitis ... Corticosteroids ... formulations for treatment ... Corticosteroids ... #management #pharmacology
Eosinophilic Gastroenteritis Management Algorithm - PPI x 8 weeks - Dietary therapy with Empiric Elimination or
Gastroenteritis Management ... Oral or Topical Corticosteroids ... x 4-8 wks #EoE ... Gastroenteritis #Management ... #Algorithm #Treatment
Treatment of Pouchitis • Microbiota-associated - Antibiotics (ciproflaxcin, metronidzole, tinidazole, amoxicillin) • Immune-mediated - Budesonide, Mesalamines;
Treatment of Pouchitis ... obstruction-fecal stasis - Endoscopic ... ileal #pouchitis #Treatment ... #management #gastroenterology
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