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 fellows gastroenteritis referral tips tricks achalasia anemia antibiotic banding boweldisease calling classification colon colonoscopy
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 ... ) - Capsule endoscopy ... #Endoscopic #Bleeding ... 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
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
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
Eosinophilic Esophagitis (EoE) - Treatment Algorithm Medical therapy: • Proton pump inhibition • Topical corticosteroids Diet therapy •
Eosinophilic Esophagitis ... (EoE) - Treatment ... testing directed #EoE ... #Treatment #Algorithm ... #management #gastroenterology
The Gastroenterology Consult Primer Guide to Calling a GI Consult HPI: - Start with reason for consult
History - Prior endoscopy ... & endoscopist ... last meal - Treatment
Functional Dyspepsia - Pathophysiology, Diagnosis and Management Risk factors: Non-steroidal anti-inflammatory drugs, Psychological comorbidity, Helicobacter pylori infection,
Diagnosis and Management ... structurally normal endoscopy ... Pathophysiology #Diagnosis #Management
Gastric Intestinal Metaplasia (GIM) • GIM is a precancerous, histopathologic change characterized by replacement of normal
algorithm for GIM management ... Endoscopic surveillance ... GIM #diagnosis #management
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