15 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... endoscopy with ... Polypectomy - Variceal ... #Endoscopic #Bleeding ... #Management #Guidelines
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Bleeding - Diagnosis ... Summary PRE-ENDOSCOPY ... Endoscopic variceal ... #Bleeding #Diagnosis ... #endoscopy #varices
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Care - Endoscopy ... Bleed Management ... #Varices #Bleeding ... #Summary #Endoscopy ... #diagnosis #management
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
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... Ulcer Disease • Variceal ... Bleeding • Mallory ... #UGIB #GIBleed ... #Differential #Diagnosis
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
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
bleed (given empirically ... until endoscopy ... Endoscopic Variceal ... #Bleeding #varices ... #management #ebm
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 ... NonVariceal #Upper #GIBleed
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... EGD and the Banding ... #Tricks #management ... gastroenterology #fellows #endoscopy ... #egd #banding
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