8 results
Endoscopic Therapy in Upper Gastrointestinal Bleeding

 • Risk Stratification
 • Red Blood Cell Transfusion
 • Pre-Endoscopic
Risk Stratification ... Medical Management ... #UGIB #Upper #Gastrointestinal ... #Bleeding #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 ... routine NG tube • Risk ... #gastroenterology ... #UGIB
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
=0.53 • Endoscopic ... free survival at 1 ... without increased risk ... #varices #management ... ebm #evidence #gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... sens. >12 inc. risk ... Start with EGD scope ... #diagnosis #management ... #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
> 1% risk of CV ... event, follow ACC algorithm ... (<1%): - Endoscopic ... - what is the bleeding ... one post op Cardiology
Approaching a Difficult Colonoscopy - Scoping Summary
Risk factors for failed C-scope:
 • Incr Age
 • Female
Scoping Summary Risk ... common reason: 1) ... Colonoscopy #Summary #Endoscopy ... #diagnosis #management ... #algorithm
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Epidemiology: • #1 ... immunocompromised, IBD) • ↑Risk ... Lowest Risk: Tetracyclines ... 10 mg/kg IV x 1 ... infectiousdiseases #IDSA #gastroenterology
Hamartomatous Polyposis Syndromes - Peutz-Jeghers Syndrome (PJS), Juvenile Polyposis Syndrome (JPS), Cowden Syndrome (CS), Cronkhite-Canada (CC),
2 large polyps bleeding ... TGF-ß family - Criteria ... colon → Likely risk ... Syndromes #diagnosis #management ... #gastroenterology