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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Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Metaplasia/Barrett's Esophagus ... : - tops of gastric ... Measure Depth of Endoscope ... Criteria #Barretts #Esophagus ... #diagnosis #endoscopy
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
symptom metric • Endoscopy ... : Persistent endoscopic ... symptom metric • Endoscopy ... score < 20 • Endoscopy ... : Normal esophagus
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... - Diagnostic endoscopy ... ) - Capsule endoscopy ... #Endoscopic #Bleeding ... HighRisk #Diagnosis #Management
Acute Esophageal Necrosis (Black Esophagus) on Endoscopy

Dr. Joaquín Berrueta Mezzera @DrJBerrueta

#Acute #Esophageal #Necrosis #Black #Esophagus #Endoscopy
Necrosis (Black Esophagus ... ) on Endoscopy ... Necrosis #Black #Esophagus ... #Endoscopy #EGD
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
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... on Upper Endoscopy ... RodriguezParra_ #active #Gastric ... Bleeding #Upper #Endoscopy
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
should receive endoscopic ... UpperGI #Rebleeding #Gastric ... 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
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... air gently till gastric ... BE - distal esophagus ... #Barretts #Esophagus