11 results
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... (VARICEAL-B): ... Controversies Regarding Variceal ... Bleed Management ... #Variceal #Varices
The Minnesota Tube
-Flexible plastic tube with 4 important components
-Gastric Aspiration Port
-Gastric Balloon (400cc)
-Esophageal Balloon (inflated typically
bleeding in Upper GI bleed ... varices -Traction ... varices. ... #Management #MinnesotaTube ... #UpperGI #GIBleed
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... colonic/rectal varices ... MatthewHoMD #Lower ... #GIBleed #Differential ... gastrointestinal #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Ulcer Disease • Variceal ... #UGIB #GIBleed ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Colonic or rectal varices ... Medicine @SCVMCMed #Lower ... #GIBleed #LGIB ... Differential #Diagnosis #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
varices) when interventional ... of gastric and esophageal ... #UGIB #Upper #GIBleed ... #management #instructions ... #gastroenterology
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
B - Bleeding (Variceal ... Ddx: Gastric + esophageal ... gastric varices ... octreotide, EGD -> variceal ... (non-bleeding varices
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Variceal Bleeding ... variceal bleed ... Endoscopic Variceal ... #Bleeding #varices ... #management #ebm
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Varices What ... that specific variceal ... - Varices in ... during banding, varices ... #Varices #variceal
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Pre-Endoscopy Management ... • Rescope if bleed ... NonVariceal #Upper #GIBleed ... #management #gastroenterology