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Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Upper GI bleed ... ± EGD Causes ... of Upper GI Bleed ... Disease • Variceal Bleeding
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... PRINCIPLES OF MANAGEMENT ... Resuscitation/Restrictive (Critical ... Regarding Variceal Bleed ... Management By
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
esophageal variceal bleed ... from the ulcer caused ... around 90% of cases ... around 90% of cases ... #varices #management
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... Bleed (Other than ... may obscure bleeding ... MatthewHoMD #GI ... #management #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI ... Bleeding Pre-Endoscopy ... Management: • ... If peptic ulcer bleeding ... • Rescope if bleed
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
• Occult UGI bleeding ... asymptomatic IBD Overt Bleeding ... OUT BRISK Upper GI ... colitis (ischemia ... Diagnosis #Algorithm #Causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... out (trauma, GI ... RP bleed) • Hypovolemic ... Classification #diagnosis #management ... #differential #causes
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... out (trauma, GI ... RP bleed) • Hypovolemic ... Classification #diagnosis #management ... #differential #causes
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
mucosa Stricture Management ... sections of the GI ... energy or heat to cause ... EUS procedures GI ... pictures as it passes
Algorithm for the management of patients presenting with acute Lower GI Bleed
High-risk patients
Multiple high-risk clinical features.a
with acute Lower GI ... Bleed High-risk ... Multiple high-risk clinical ... symptorns of ongoing bleeding ... few high-risk clinical