Vaizey score of in..
Cancer risk in primary sclerosing cholangitis (PSC) Hepatocellular carcinoma: 0.3%-2.8% lifetime incidence Gallbladder carcinoma: 1%-3.5% lifetime incidence (10x general population) Cholangiocarcinoma: up to 20% lifetime incidence (400x-1500x general population) Colorectal cancer: 20-30% lifetime incidence in PSC-IBD (10x risk general population, 4x risk over UC) References: Fung BM, Lindor KD, Tabibian JH. Cancer risk in primary ..
Tokyo Guidelines 2018: initial management of acute biliary infection and flowchart for acute cholangitis Severity assessment criteria for acute cholangitis Grade III (severe) acute cholangitisOnset of dysfunction at least in any one of thefollowing organs/systems:-Cardiovascular dysfunction: hypotension requiring dopamine ≥5 lg/kg per min, or any dose of norepinephrine-Neurological dysfunction: disturbance of consciousness-Respiratory dysfunction: PaO2/FiO2 ratio ..
Summary of the BAVENO VI guideline for portal hypertension selection of statements Identification of patients with cACLD who can safely avoid screening endoscopy (new) -Patients with a liver stiffness <20 kPa and with a platelet count >150,000 have a very low risk of having varices requiring treatment, and can avoid screening endoscopy-These patients can be ..
Leipzig score for Wilson’s disease References: EASL guideline W..
EASL guideline Primary Biliary Cholangitis management flow chart R..
Milan Criteria for Hepatocellular carcinoma (HCC) – One tumor ≤ 5 cm– Two or three tumors ≤ 3 cm– No imaging evidence of vascular invasion– No imaging evidence of extrahepatic metastat..
Prediction of prednison failure in Acute Severe Ulcerati..
Harvey-Bradshaw index for Clinical disease activity in Crohn’s Disease Parameter Input and score 1. Patient well-being(previous day) 0 = very well1 = slightly below par2 = poor3 = very poor4 = terrible 2. Abdominal pain(previous day) 0 = none 1 = mild2 = moderate3 = severe 3. Number of liquid or soft stools(previous day) blank ..
Truelove and Witts severity index for Ulcerative Colitis – Mild Moderate Severe Bowel movements (number per day) Fewer than 4 4–6 6 or more plus at least 1 of the features of systemic upset (marked with * below) Blood in stools No more than small amounts of blood Between mild and severe Visible blood Fever ..
Esophageal lichen planus References: Franziska Schauer, Carmen Monasterio, Kristin Technau-Hafsi, JohannesSteffen Kern, Adhara Lazaro, Peter Deibert, Peter Hasselblatt, Henning Schwacha, Steffen Heeg, Volker Brass, Armin Küllmer, Arthur Robert Schmidt, Annette Schmitt-Graeff & Wolfgang Kreisel. (2019) Esophageal lichen planus: towards diagnosis of an underdiagnosed disease, Scandinavian Journal of Gastroenterology, 54:10, 1189-1198, DOI: 10.1080/00365521.20..
ESGE recommended polyp resection technique https://www.esge.com/assets/downloads/pdfs/guidelines/2017_s_0043_..
Bile duct cysts: Todani classification I – Cystic (Ia)/saccular (Ib)/fusiform (Ic) dilatation of the extrahepatic bile duct (accounts for 80-90% of cases) II – Extrahepatic, supraduodenal bile duct diverticulum III – Intraduodenal diverticulum (choledochocele) IV – Intra and extrahepatic duct dilatation IVa – Multiple intra and extrahepatic cysts IVb – Multiple extrahepatic cysts only V – Multiple ..
UK guideline 2017: esophageal dilatation Tools for esophageal dilatation (ASGE 2013) References: UK guidelines on oesophageal dilatation in clinical practice 2017 Tools for endoscopic stricture dilation &#..
Hepatocellular carcinoma (HCC) treatment strategy in cirrhotic liver. EASL guidelines. Related articles:Liver transplantation criteria for HCCBenign liver tumoursLiver cirrhosis follow-up References: EASL guideline HCC Forner A, et al. Lancet 2018;391:1301–1314 EASL CPG HCC. J Hepatol 2018; doi: 10.1016/j.jhep.2..
Risk of liver decompensation after hepatectomy for HCC (hepatocellular carcinoma) Related articles:HCC treatmentLiver transplantation criteria for HCC References: EASL gui..
Lifestyle approach NAFLD (Nonalcoholic fatty liver disease) Related articles:Nutrition in patients with cirrhosisFibroscan scoring card References: EASL guideline Nutrition in Chronic Liv..
Extended criteria (liver) donor (ECD) Related articles:Liver transplantation criteria for HCCKing’s College criteria for liver transplantationRisk of liver decompensation after hepatectomy Definition of ECD donorsThe ECD graft represents an organ with unfavourable characteristicsassociated with suboptimal post-transplant outcomes thatfall into two main risk categories: poor graft function and potentialfor disease transmission. Within the poor graft function ..
Liver transplantation criteria Hepatocellular Carcinoma (HCC) – Milan criteria Related articles:HCC treatmentRisk of liver decompensation after hepatectomyKing’s College criteria for liver transplantationExtended criteria donor (ECD) Milan criteria Solitary HCC <5 cm diameter OR ≤3 nodules with diameter <3 cm UCSF criteria1 Single lesion ≤6.5 cm in diameter OR 2–3 lesions ≤4.5 cm; total tumour diameter ..
Infliximab Ulcerative Colitis Related articles:*Acute severe colitis*Mild-to-Moderate Ulcerative Colitis*Probiotics in Ulcerative Colitis*Methotrexate in Ulcerative Colitis*Infliximab with Azathiopurine (Ulcerative Colitis)*Acute severe colitis: Accelerated induction Infliximab*Adalimumab in Ulcerative Colitis (ULTRA studies)*Golimumab in Ulcerative Colitis*Vedolizumab vs Adalimumab Ulcerative Colitis*Vedolizumab Ulcerative Colitis*Tofacitinib (OCTAVE Ulcerative Colitis)*Ustekinumab (Ulcerative colitis)*Acute severe colitis: Infliximab vs ciclosporin (CONTRUCT) Infliximab for Induction and Maintenance Therapy ..