15 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... endoscopy with ... ) - Capsule endoscopy ... #Endoscopic #Bleeding ... #Management #Guidelines
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... should receive endoscopic ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD ... #Endoscopy
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
PRE-ENDOSCOPY ... of PUD) PERI-ENDOSCOPY ... anatomy) POST-ENDOSCOPY ... #Diagnosis #Management ... #treatment #endoscopy
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Classification #Upper #GIBleed ... #UGIB #diagnosis ... #endoscopy #gastroenterology ... #egd
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... Causes of Upper ... Disease • Variceal Bleeding ... #UGIB #GIBleed ... #Differential #Diagnosis
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
products E - Endoscopy ... Care - Endoscopy ... Regarding Variceal Bleed ... #Summary #Endoscopy ... #diagnosis #management
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
Colonoscopy) Pill endoscopy ... double-balloon endoscopy ... intraoperative endoscopy ... double-balloon endoscopy ... #GIBleed #management
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
esophageal variceal bleed ... empirically until endoscopy ... from the ulcer caused ... around 90% of cases ... #varices #management
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Upper GI Bleeding ... • Start with EGD ... #Summary #Endoscopy ... #diagnosis #management
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Paracentesis, EGD ... Prophylactic variceal bleeding ... polypectomy, Capsule endoscopy ... Push enteroscopy, Diagnostic ... thresholds #targets #management