11 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Polypectomy - Variceal ... #Endoscopic #Bleeding ... #Risks #Gastroenterology ... #Management #Guidelines
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Bleeding - Diagnosis ... Endoscopic variceal ... #Bleeding #Diagnosis ... #endoscopy #varices ... #hepatology
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping ... PRINCIPLES OF MANAGEMENT ... acquired/vasoactive meds ... #Varices #Bleeding ... #diagnosis #management
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Risk 50% Signs ... GIBleed #UGIB #diagnosis ... #endoscopy #gastroenterology ... #egd
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... (white nipple sign ... EGD and the Banding ... #gastroenterology ... #egd #banding
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 ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Paracentesis, EGD ... , Prophylactic variceal ... bleeding, Small ... Push enteroscopy, Diagnostic ... thresholds #targets #management
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... esophageal varices ... esophageal varices ... mucosa Stricture Management ... Aguila @enrrikke #Gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Upper GI Bleeding ... Prokinetics dec. repeat EGD ... • Start with EGD ... #diagnosis #management
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
and Management ... duodenum Clinical Signs ... • Primary AEF: arises ... may undergo EGD ... Sensitivity of EGD