GiT Updates and More

Bloating and abdominal distention #UEG

Modified Atlanta Classification of Acute Pancreas

🔆 Clinical #Pearls : ➡️ Gastritis is inflammation or erosion of the gastric lining and often presents with GI bleeding without pain. Severe, erosive gastritis can present with epigastric pain. NSAIDs or alcoholism in the history is a clue. The GI bleeding can range from a mild “coffee-ground” emesis, to a large volume vomiting of red blood, to a black stool (melena).

🔆 Clinical #Pearls : Ambulatory reflux (pH) testing (wire based or capsule based sensor) is indicated among patients presenting with typical reflux symptoms not responsive to proton pump inhibitor therapy.

🔆 TiP : In the esophagus, barium study is a good place to start with testing, but in the stomach, barium is very poor.

Doses of Vitamins

H Pylori Points

Clinical Suspicion of Fatty Liver Disease (MASLD)

Extra-Intestinal Manifestations in IBD ▶️ Starts with “E” = parallels IBD activity 🔹Episcleritis 🔹E. nodosum 🔹Elbows (peripheral lg joints) ▶️ Does not start with “E” = not parallel 🔹Uveitis 🔹Pyoderma 🔹Axial arthritis 🔹Also PSC

ACG 2025 Crhons disease Highlights

Polypectomy pearls by master endoscopist : 💠Cold snare in most cases: 🔹 All polyps </= to 10mm 🔹SSLs of any size 💠Hot snare in select cases: 🔹Any perceived risk of cancer 🔹Difficult to transect without electrocautery 🔹Anticipated fibrosis

Source : ACG Midwest Regional Post-Graduate course

Diagnosis and treatment of functional dyspepsia

A great algorithm for diagnostics and management of patients with Bloating

ESGE 2025 Standard UPPER GI ENDOSCOPY REPORT

Rome IV criteria For Functional Constipation