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Showing posts from September, 2023

Rutgeerts score Crohns disease

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Source: https://www.igibdscores.it/en/info-rutgeerts.html  The Original Rutgeerts score was described in a paper published in Gastroenterology in 1990 This was based on 89 patients, followedup between 1979 and 1984. The Rutgeerts score, when measured within a year out of surgery, predicts risk of symptomatic recurrence at 5 years after surgery

Anticoagulation and Endoscopy procedures

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 Source- UTD https://www.jtcvs.org/action/showPdf?pii=S0022-5223%2818%2931859-2 Endoscopic Sphincterotomy  - Risk of bleeding persist for upto 3 to 5 days after sphincterotomy           Low to Mod risk of Thrombosis: Delay attaining therapeutic anticoagulation for 3 to 5 days after                                                                 For eg: Re-start Warfarin at day 3 / Restart DOAC at day 5                      High risk of Thrombosis:  Re-start Warfarin on the evening of procedure / LMWH 48H after / DOAC day 5  - UFH 24-48H post.                     Mechanical Heart valves: Mechanical Mitral / Pulmonary vaalve - HIGHEST risk Mechanical Aortic valve - low to moderate risk based on presence of concurrent stroke risk (chadvasc) After high-risk procedure (sphincterotomy), regardless of the valve, DO NOT re-start LMWH within 48-72H after procedure! As per Journal of Thoracic & Cardiovascular surgery guideline (2019) for non-cardiac procedures: Metallic Heart valve with no

Recurrent Acute Pancreatitis

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  S ource: https://www.youtube.com/watch?v=tn_UP-Ec0yA&t=1758s