29 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... enteroscopy - ERCP ... #Endoscopic #Bleeding ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Endoscopic Therapy in Upper Gastrointestinal Bleeding

 • Risk Stratification
 • Red Blood Cell Transfusion
 • Pre-Endoscopic
Gastrointestinal Bleeding ... Medical Management ... #UGIB #Upper #Gastrointestinal ... #Bleeding #management ... #gastroenterology
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... are without endoscopic ... IIa - Non-Bleeding ... Spot in ulcer crater ... Risks #Grading #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Active Oozing, Re-bleeding ... Upper #GIBleed #UGIB ... #diagnosis #endoscopy ... #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... hematochezia if the bleeding ... Lower #GIBleed #comparison ... versus #diagnosis #gastroenterology ... #ugib #lgib
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Disease • Variceal Bleeding ... Upper #GI #Bleed #UGIB ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - Management ... Suspected lower GI bleeding ... Known potential LGIB ... #GIBleed #management ... gastrointestinal #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... precise site of bleeding ... mucosa Stricture Management ... Used to provide dearer ... Aguila @enrrikke #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 ... If peptic ulcer bleeding ... #gastroenterology ... #UGIB
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Prophylactic variceal bleeding ... polypectomy, Capsule endoscopy ... balloon enteroscopy, ERCP ... tumor ablation, ERCP ... thresholds #targets #management