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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Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Management of Jackhammer ... Esophagus or Esophageal ... Step 4: Medical Management ... #Jackhammer #Esophagus ... Esophageal #Spasm #Management
Indications for Spontaneous Bacterial Peritonitis (SBP) Prophylaxis 
#Management #Hepatology #Indications #Spontaneous #Bacterial #Peritonitis #SBP #Prophylaxis
Bacterial Peritonitis (SBP ... Prophylaxis #Management ... #Peritonitis #SBP
Antibiotic Therapy for Spontaneous Bacterial Peritonitis  (SBP)

- Standard therapy 
- Uncomplicated SBp• 
- Nosocomial SBP
Peritonitis (SBP ... Uncomplicated SBp ... - Nosocomial SBP ... renal failure #Management ... #SBP #SpontaneousBacterialPeritonitis
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Bacterial Peritonitis (SBP ... Diagnosis and Management ... , cefotaxime) SBP ... : Medical Management ... #Peritonitis #SBP
Approach to the Diagnosis and Treatment of Spontaneous Bacterial Peritonitis. This algorithm provides a general approach
diagnosis and management ... #Diagnosis #Management ... #Hepatology #SBP
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Klebsiella, pneumoniae) Management ... Necrosis #black #esophagus ... #diagnosis #management
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... BE - distal esophagus ... #Barretts #Esophagus
Prague Criteria - For Endoscopically Suspected Esophageal Columnar Metaplasia/Barrett's Esophagus
1) Ensure Hiatus Hernia Is Recognised By
Metaplasia/Barrett's Esophagus ... Criteria #Barretts #Esophagus
Chicago Classification of Esophageal Motility Disorders
Achalasia
EGJ Outflow Obstruction
Distal Esophageal Spasm
Jackhammer Esophagus
Absent Contractility
Ineffective Motility
Rapid Contraction

#Chicago #Classification #Esophageal
Spasm Jackhammer Esophagus
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
SSPs, Adenoma or SSP ... grade dysplasia, SSP ... gastroenterology #guidelines #management