GiT Updates and More

Kyoto classification modification is published, in which > 4 points, we establish a population with a higher RISK OF GASTRIC CANCER.

5 types of mirizi syndrome

💤Beta-blockers are known to cause vivid or bizarre dreams - inducing nightmares by REM suppression. Beta-blockers with higher lipophilicity, such as... 🔸carvedilol 🔹labetalol 🔸metoprolol 🔹penbutolol 🔸pindolol 🔹propranolol ...are most likely to cause nightmares.

✳️Endoscopic findings Upper gastrointestinal Crohn’s Disease ➡️Esophageal: 0.2-6% Aphtha ,erosion, ulcer ➡️Gastric: 24–73% Aphtha, erosion, ulcer Bamboo-joint-like appearance ➡️Duodenal: 21–32.1% Aphtha, erosion, ulcer, notch-like appearance, Protruding lesions

✳️ Microscopic colitis 🔅Chronic, persistent, nonbloody diarrhea 🔅Nothing on stool studies 🔅Nothing visible on scope 🔅Biopsy diagnosis of lymphocytes infiltrating colonic mucosa ❇️Treat with steroids

✳️ Diabetic Gastroparesis *Metoclopramide can’t be used long-term because of dystonic reactions *Dystonic reaction is treated with diphenhydramine *Refractory to erythromycin cases are treated with… Gastric pacemaker

Types of hiatus hernia