Repeat EGD for Grade B esophagitis showed 16% had Barrett's esophagus. #gastro See chart at link.
Reply to this Note | Notes Linking Here | Repeat EGD | Prior Note
Pandora has an alarm feature on their mobile phone app. It lets you wake up to your favorite station. Here are the instructions for the Android app. The iPhone app probably has similar instructions. Click on the three bar settings button on the upper right corner. Scroll to the bottom and click the "on" button to turn on the alarm feature. Then click on the left side of the alarm button to change settings of the alarm as the time, station, repeating on weekdays or weekends, and snooze.
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traditional serrated adenomas - repeat colonoscopy for surveillance in 3 years
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Await pathology results. The patient should be on Pantoprazole 40 mg p.o. BID for six weeks on discharge. The patient needs to follow up with me [] to discuss a repeat EGD in 6 weeks. Message was sent to clinic for follow up. Most likely source of bleeding was the gastric and duodenal ulcers. Avoid alcohol and NSAIDs. Differential diagnosis for gastric ulcer includes gastric cancer although less likely. Differential for gastritis includes H. Pylori infection
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Copy of EGD report with variceal banding given to patient. Instructed about repeat EGD in 4 weeks.
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Bile leak - Risks and benefits of ERCP with stent discussed with patient[] including bleeding, infection, perforation, pancreatitis, and death. Risk of pancreatitis stated as 15% for moderate pancreatitis and 1% for severe pancreatitis. Hand out describing procedure given to patient.
Patient agreeable to proceed with ERCP. Patient agreeable to follow up for repeat ERCP in 6 weeks if stent placed[].
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Discussed importance of repeat ERCP for stent removal and risk of ascending cholangitis and death with stent occlusion.
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Esophagogastroduodenoscopy with variceal banding and control of hemorrhage. Esogphagus - Grade 2 esophageal varices with stigmata of recent bleeding including cherry red spots. Banded times three with eradication of varices. Bleeding from the varices during the procedure had stopped at the end of the procedure. Esophagus was otherwise normal.
Gastritis with edema and portal hypertensive gastropathy in the antrum, body, and fundus.
Duodenum was normal.
Propranolol 10 mg PO BID on discharge titrated by heartrate. Octreotide drip for three days. Clear liquid diet today, soft diet tomorrow, then resume low sodium diet the next day barring complications. The patient needs to follow up with gastroenterology to discuss repeat EGD in 2 weeks. Message was sent to clinic for follow up. Bleeding source was esophageal varices.
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Variceal Banding Recommendations: Propranolol 10 mg PO BID on discharge titrated by heartrate. Octreotide drip for three days. Clear liquid diet today, soft diet tomorrow, then resume low sodium diet the next day barring complications. Bleeding source was esophageal varices. The patient needs to follow up with gastroenterology to discuss repeat EGD in 2 weeks.
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Detection of Barrett's esophagus after endoscopic healing of erosive esophagitis. BE (mainly SSBE) is detected in approximately 12% of patients on repeat endoscopy in two months. Cited in guideline article about heartburn.
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Repeat EGD for Grade B esophagitis showed 16% had Barrett's esophagus. #gastro See chart at link.
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