#WedGastroGuide💩 🍺 Alcoholic Hepatitis AASLD 👉 Key Points: 1⃣ Eligibility for Steroids (MDF ≥32, r/o other causes of liver injury, r/o active infection) 2⃣ C/I to Steroids (infection, AKI, GI bleed, multiorgan failure/shock, concomitant HIV, HBV, HCV, TB...) 3⃣

#WedGastroGuide💩 Chronic Idiopathic Constipation - Joint American Gastroenterological Association (AGA) & @ACG Guideline 👉 Key Points: 1⃣ Hydration & ⬆️fibers 2⃣ Osmotic laxatives (e.g. PEG, Mg Oxide) 3⃣ Stimulants as short-term or rescue therapy (e.g. Bisacodyl, Senna) 4⃣ Secretagogue (e.g.

#WedGastroGuide 💩 Gastroparesis - ACG Guideline 👉 Key Points: 1⃣ R/O mechanical obstruction 2⃣ Assess for 💊-induced delayed GE (e.g. opioids) 3⃣ SGE (solid meal emptying ≥ 3h). ❌opioids, prokinetics, and other💊that can affect GE for at least 48 hours prior

#WedGastroGuide 💩 Follow-up after Colonoscopy and Polypectomy - American Gastroenterological Association (AGA) Guideline 👉 Key Points: 1⃣ Algorithm for average risk population who had a high-quality colonoscopy 2⃣ Average risk population: ❌ IBD, ❌personal or FH of CRC, ❌hereditary syndromes that ⬆️risk

#WedGastroGuide💩 Management of Celiac Disease ACG 2023 Guideline 👉 Key Points: 1⃣ ❌ Screen all patients 2⃣ Consider testing if clinical picture suggestive of possible CD❓(e.g. diarrhea, weight loss, abdominal pain, bloating, chronic IDA, etc). 3⃣ Initial

#WedGastroGuide💩 Management of Anticoagulants & Antiplatelets in Acute GI Bleeding & Periendoscopic Period - ACG 2022 Guideline 🔑 Key points: 1⃣ Determine if life-threatening🩸 2⃣ Life-threatening🩸on Warfarin➡️ PCC>FFP. No clear benefit for vitamin K 3⃣

#WedGastroGuide 💩 Prevention, Diagnosis, and Treatment of Hepatocellular Carcinoma - AASLD 2023 Guideline ‼️Part 2: HCC Diagnosis Diagnostic modality⁉️ 💠Multiphase CT or MRI with LI-RADS classification. Sufficient for diagnosis without biopsy in 🔼risk patients:

#WedGastroGuide💩 Endoscopic Eradication Therapy of Barrett's Esophagus and Related Neoplasia American Gastroenterological Association (AGA) 2024 Guideline High-grade dysplasia (HGD)‼️ 🔸Recommends complete EET 🔸Surveillance at 3, 6, and 12 months➡️annually Low-grade dysplasia (LGD)‼️ 🔸Recommends EET >

#WedGastroGuide💩 Small Intestinal Bacterial Overgrowth (SIBO) - ACG 2020 Guideline Symptoms⁉️ 🔸Bloating, pain, dissension, flatuence, diarrhea Risk factors⁉️ 🔸Any condition affecting mechanisms in Table 3 🔸Motility disorders (diabetes, scleroderma), prior

#WedGastroGuide 💩 Management of ingested foreign bodies and food impactions - ASGE GI Endoscopy 2011 Guideline 💠Avoid contrast imaging ❌❌ 💠Determine timing of endoscopy⏲️(table below) 💠Endoscopic removal‼️ 🔸Disk batteries or sharp objects in esophagus 🔸Esophageal food

#WedGastroGuide💩 Post-ERCP Pancreatitis Prevention Strategies - ASGE GI Endoscopy 2023 Guideline Rectal NSAIDs‼️ 🔸Indomethacin 100 mg 🔸>30 min before or during procedure 🔸❌in recent PUD or renal insufficiency Wire-guided✅> Contrast-guided cannulation‼️ Pancreatic duct

Incredibly excited to be applying for #GIFellowship💩 Thrilled to be sharing this journey with my amazing fiancée and future #PedsGI star Rasha Abou Jaoudeh, MD🌟 #GIfellowship #PedsGIfellowship #match2025

#WedGastroGuide💩 IBS-C Pharmacotherapy - American Gastroenterological Association (AGA) 2022 Guideline 1⃣First-line therapy 🔸Constipation➡️Osmotic laxatives (e.g. PEG) 🔸Abdominal pain➡️Antispasmodics (e.g. dicyclomine, hyoscyamine) 2⃣Second-line therapy➡️Secretagogues 🔸Linaclotide (Linzess)✅290

#WedGastroGuide💩 IBS-D Pharmacotherapy - American Gastroenterological Association (AGA) 2022 Guideline 1⃣First-line therapy 🔸Diarrhea➡️Loperamide (Imodium) 🔸Abdominal pain➡️Antispasmodics (e.g. dicyclomine, hyoscyamine) 2⃣Second-line therapy 🔸Rifaximin ✅550 mg TID for 14d (can repeat up to 2 times)

#WedGastroGuide💩 Endoscopic Management of Colonic Volvulus - ASGE GI Endoscopy 2020 Guideline Most common locations⁉️ 🔹Sigmoid & Cecum 🔹Sigmoid: Haustra absent + transverse/ascending colon usually dilation 🔹Cecum: Haustra present + distal colon usually collapsed General

Great work by Cleveland Clinic Children’s Drs. Meenal Karuvannur and Rasha Abou Jaoudeh, MD presenting on complex clinical issues and #IBD at the #MWGC2024! #womeninmedicine #FutureLeaders

#WedGastroGuide💩 Management of Acute Colonic Pseudo-Obstruction (ACPO ~ Ogilvie Syndrome) - ASGE GI Endoscopy 2020 Guideline Uncomplicated ACPO‼️ 🔹No ischemia or peritonitis, cecal diameter<12 cm, no significant abdominal pain 🔹NPO, NGT,✅electrolytes & fluids, 💊infection,

#WedGastroGuide💩 Barrett's Esophagus Screening - ACG 2022 Guideline Who To Screen⁉️ 🔶Chronic GERD symptoms + 3 or more of following 🔹Male sex 🔹Age > 50 years 🔹White race 🔹Smoking 🔹Obesity 🔹First-degree family history of Barrett's or esophageal

#WedGastroGuide💩 Acute Liver Failure - ACG 2023 Guideline Part 2: Management 🔸Treat underlying etiology (table⬇️) 🔸Early consideration for transfer to transplant center ➡️King's College Criteria‼️ 🔸❌Recommend against correcting coagulopathy unless bleeding or

#WedGastroGuide💩 Transjugular Intrahepatic Portosystemic Shunt (TIPS) - @AASLD 2023 Guidance TIPS Main Indications⁉️ 🔸Variceal bleed refractory to 💊or endoscopic management 🔸Ascites refractory to Na-restriction and 💊 (Spironolactone 400 mg/day + Furosemide 160 mg/day)