8 results
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
products E - Endoscopy ... Care - Endoscopy ... Bleed Management ... #Summary #Endoscopy ... #algorithm #VARICEALB
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
bleed (given empirically ... until endoscopy ... =0.53 • Endoscopic ... Endoscopic Variceal ... #management #ebm
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... are without endoscopic ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... gastroenterology #EGD #clinical
Management of Bleeding Gastric Varices

Gastric Varices
Saad-Caldwell Classification
Endoscopic Evaluation and Management
Endovascular Management

By Chuma G. Obineme, MD @TypicallySilent
Management of Bleeding ... Gastric Varices ... Saad-Caldwell Classification ... Endoscopic Evaluation ... #Variceal #Bleeding
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Scoping Summary Pre-Endoscopic ... #Summary #Endoscopy ... #diagnosis #management ... #algorithm
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Pre-Endoscopy Management ... • 'Early endoscopy ... 24 hours Post-Endoscopy ... embolization if endoscopy
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... the varix that bled ... banded the one that bled ... #Tricks #management ... gastroenterology #fellows #endoscopy
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Change in clinical ... risk (<1%): - Endoscopic ... - what is the bleeding ... medical and surgical management