9 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... points from ASGE ... Polypectomy - Variceal ... placement (low if ASA ... #Endoscopic #Bleeding
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
of Rebleeding ... Classification - Therapy - Rebleeding ... Diet I Active bleeding ... II Stigmata of bleeding ... #EGD #Risk #Rebleeding
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
of Rebleeding. ... of further bleeding ... Gastroenterology #UpperGI #Rebleeding ... Prevalence #Stigmata #EGD ... #Endoscopy
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping ... >120 refer to AGA ... - Refractory Bleeding ... #Varices #Bleeding ... #Summary #Endoscopy
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
of Bleeding Esophageal ... anticipate active bleeding ... - If without bleeding ... is not actively bleeding ... @enrrikke #Bleeding
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Paracentesis, EGD ... , Prophylactic variceal ... bleeding, Small ... polypectomy, Capsule endoscopy ... polypectomy, EMR or ESD
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... routine NG tube • Risk ... hours • Initiate clear ... If peptic ulcer bleeding
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Upper GI Bleeding ... sens. >12 inc. risk ... • Start with EGD ... NonVariceal #UpperGI #Bleeding
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... (ASGE 2015) ... Cirrhosis & GI bleeding ... infection and high risk ... #EGD #Indications