13 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Rebleeding risks ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... #gastroenterology ... #EGD #clinical
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Consult GI ± EGD Causes ... Disease • Variceal Bleeding ... Diagnosis #management #Algorithm ... gastrointestinal #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... Lower GI Bleeding ... Upper GI Bleed ... Lower GI Bleed ( ... versus #diagnosis #gastroenterology
"The majority of cases of acute mesenteric ischemia are the result of acute arterial occlusion resulting
The majority of cases ... Risk factors include ... SuperiorMesentericArtery #clinical ... InferiorMesentericArtery #Gastroenterology ... #surgery #
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
esophageal variceal bleed ... from the ulcer caused ... without increased risk ... • Surgery (PMID ... ebm #evidence #gastroenterology
Clinically Significant Cardiovascular Drug-Drug Interactions With OTC Supplements and Herbal Products
Angiotensin-Converting Enzyme Inhibitors (ACEIs)
 • Night-blooming
Clinically Significant ... palmetto - Increases bleeding ... risk • St. ... to increased bleed ... vera, Licorice - Causes
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
of the surgery ... event, follow ACC algorithm ... Change in clinical ... - what is the bleeding ... risk of surgery
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
inuslin release leading ... Gastric bypass causes ... are risk factors ... operative CCY risk ... gastric #bypass #gastroenterology
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Differential Diagnosis Algorithm ... • Occult UGI bleeding ... asymptomatic IBD Overt Bleeding ... Patient • RULE OUT BRISK ... #Causes
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... routine NG tube • Risk ... • Rescope if bleed ... endoscopy fails • Surgery ... GIBleed #management #gastroenterology