11 results
Bleeding peptic ulcer on endoscopy.
Johnson Type III pre pyloric and Forrest IB

- Cirbosque @Cirbosque

#PepticUlcer #PUD #Bleeding
peptic ulcer on endoscopy ... pyloric and Forrest IB ... PUD #Bleeding #EGD ... #endoscopy #clinical ... #video
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
forceps biopsy (EGD ... placement (low if ASA ... - Resections (ESD ... Gastroenterology #EGD ... HighRisk #Diagnosis #Management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Diagnosis and Management ... variceal ligation - EGD ... Surveillance EGD ... Propranolol 10mg BID ... Bleeding #Diagnosis #Management
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
bleed Yes 55 IV Clear ... liquid  Ib  Oozing ... vessel Yes 43 IV Clear ... Classification #Endoscopy ... #EGD #Risk #Rebleeding
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... patient with known AAA ... compression of AAA ... Sensitivity of EGD ... • CT findings
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
Bleed (Other than EGD ... double-balloon endoscopy ... Triple-phase CT ... or nephropathy CT ... Bleed #GIBleed #management
Reversible Acute Mesenteric Ischemia - A computed tomographic scan showed jejunal dilatation and thinning of the
hemorrhage (Panel B, Video ... underwent repeat endoscopy ... Mesenteric #Ischemia #EGD ... #CT #NEJM
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Prokinetics dec. repeat EGD ... Infusion = 40mg IV BID ... • Start with EGD ... #diagnosis #management
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Endoscopy ( ... Sig or Colon +EGD ... Cross-sectional Imaging (MR/CT ... Colitis #diagnosis #management ... #algorithm #IBD
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... cardiac devices (ICD ... #Prophylaxis #Endoscopy ... #EGD #Indications ... Gastroenterology #Management