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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Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk of Rebleeding ... risk of further bleeding ... should receive endoscopic ... #Gastric #Ulcers ... Stigmata #EGD #Endoscopy
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... on Upper Endoscopy ... Acute bleeding in ... RodriguezParra_ #active #Gastric ... #Endoscopy #EGD
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... - Diagnostic endoscopy ... ) - Capsule endoscopy ... #Endoscopic #Bleeding ... HighRisk #Diagnosis #Management
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... are without endoscopic ... Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding
Gastric Intestinal Metaplasia (GIM)
 • GIM is a precancerous, histopathologic change characterized by replacement of normal
Gastric Intestinal ... replacement of normal gastric ... algorithm for GIM management ... Endoscopic surveillance ... GIM #diagnosis #management
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Junction By Depth Of Endoscope ... : - tops of gastric ... Measure Depth of Endoscope ... Measure Depth of Endoscope ... from the Depth of Endoscope
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
the stigmata of bleeding ... risks of further bleeding ... vessel; E, active bleeding ... #Gastric #Ulcers ... Stigmata #EGD #Endoscopy
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Bidirectional endoscopy ... perform routine gastric ... biopsies Capsule endoscopy ... bidirectional endoscopy ... change medical management
Gastric Polyp Diagnosis and Management Algorithm

#Gastric #Polyp #Diagnosis #Management #Algorithm #gastroenterology
Gastric Polyp Diagnosis ... and Management ... Algorithm #Gastric ... Polyp #Diagnosis #Management
Gastric Epithelial Polyps - Evaluation and Management 
Hyperplastic Polyps
Fundic gland polyps (FGP)
Gastric Adenomas
Gastric Neuroendocrine Tumours (NET)
Hamartomatous
Gastric Epithelial ... Evaluation and Management ... polyps (FGP) Gastric ... Adenomas Gastric ... Polyps #diagnosis #Management