Crohn’s Colitis Management
Inflammatory bowel disease that can affect any GI segment; colitis refers to colon involvement. Why Do I Need Management? To control symptoms (pain, diarrhea), heal mucosa, and prevent strictures/fistulas. How Should I Prepare? Review current medications and recent imaging. What Happens During Management? Medication: Corticosteroids for induction, immunomodulators, biologics (adalimumab). Endoscopy/Imaging: Periodic colonoscopy or MR […]
Ulcerative Colitis Management
A chronic inflammatory disease affecting the colon’s mucosal lining, causing diarrhea and rectal bleeding. Why Do I Need Management? To induce and maintain remission, prevent complications (strictures, cancer). How Should I Prepare? Bring medication list and recent lab results. What Happens During Management? Medication: 5-ASA agents, corticosteroids for flare, immunomodulators (azathioprine), biologics (infliximab). Monitoring: Regular […]
Hyperplastic Polyps Management
Benign polyps typically found in the distal colon; low risk of malignancy. Why Do I Need Management? Most require no treatment; removal if >1 cm to exclude serrated adenoma. How Should I Prepare? Bowel prep for colonoscopy if removal is planned. What Happens During Management? Snare Polypectomy: Endoscopic removal of large hyperplastic polyps. What Can […]
Inflammatory Polyps Management
Pseudopolyps that arise in inflammatory bowel diseases like ulcerative colitis and Crohn’s disease. Why Do I Need Management? They indicate ongoing inflammation but are not pre-cancerous. How Should I Prepare? Colonoscopy prep per IBD surveillance protocol. What Happens During Management? Surveillance: Regular colonoscopy to monitor disease activity. Therapy: Optimize IBD medications (5-ASA, biologics) to reduce […]
Stomach Polyp Management
Abnormal growths in the stomach lining; common types are fundic-gland and hyperplastic polyps. Why Do I Need Management? Fundic-gland polyps: usually benign; monitor size. Hyperplastic polyps >1 cm or with dysplasia: remove to rule out cancer. How Should I Prepare? Fasting 6 hours before endoscopy. Stop PPIs 2 weeks prior if safe. What Happens During […]
Colon Polyps Management
Growths on the inner lining of the colon; types include adenomatous, hyperplastic, and inflammatory. Why Do I Need Management? Some polyps can transform into cancer if not removed. How Should I Prepare? Bowel prep as for colonoscopy. Discontinue blood thinners per protocol. What Happens During Management? Polypectomy: Endoscopic snare removal of polyps. EMR/ESD: Advanced resection […]
Lynch Syndrome
An inherited condition (mismatch-repair gene mutations) increasing risk of colorectal, endometrial, and other cancers. Why Do I Need Management? Up to 80% lifetime colorectal cancer risk without surveillance. Elevated risk of endometrial and ovarian cancers. How Should I Prepare? Genetic counseling and testing for MSH2, MLH1, MSH6, PMS2 mutations. Baseline colonoscopy at age 20–25 or […]
Familial Adenomatous Polyposis (FAP)
An inherited syndrome causing hundreds to thousands of colon polyps and a near-100% risk of colorectal cancer by age 40 if untreated. Why Do I Need Management? Early detection and prophylactic surgery can prevent cancer. How Should I Prepare? Genetic testing for APC mutation. Annual colonoscopy beginning at age 10–12. What Happens During Management? Surveillance: […]
Stomach Cancer Screening
Endoscopic examination to detect early gastric malignancies in high-risk populations. Why Do I Need Screening? Family history of gastric cancer Chronic gastritis or intestinal metaplasia Pernicious anemia or H. pylori infection How Should I Prepare? Fasting 6 hours before endoscopy. Discontinue PPIs 2 weeks prior if safe. What Happens During Endoscopy? Sedation administered. Systematic inspection […]
Barrett’s Esophagus Screening
A condition where esophageal lining changes from squamous cells to intestinal-type cells due to chronic acid reflux, increasing cancer risk. Why Do I Need Screening? Chronic GERD (>5 years) Frequent heartburn and regurgitation White males over 50 with obesity How Should I Prepare? Fasting 6 hours before endoscopy. Stop PPIs 2 weeks prior if safe […]
