21 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... endoscopy with ... Polypectomy - Variceal ... #Risks #Gastroenterology ... #Management #Guidelines
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
products E - Endoscopy ... Care - Endoscopy ... Bleed Management ... #Summary #Endoscopy ... #diagnosis #management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Summary PRE-ENDOSCOPY ... of PUD) PERI-ENDOSCOPY ... Endoscopic variceal ... anatomy) POST-ENDOSCOPY ... #endoscopy #varices
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 ... #UGIB #GIBleed ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
PMID: 11870374) - Endoscopic ... until endoscopy ... ulcer caused by endoscopic ... Endoscopic Variceal ... #management #ebm
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Scoping Summary Pre-Endoscopic ... • Know your endoscopic ... /primary team Endoscopic ... #diagnosis #management
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
risks are without endoscopic ... 1a - Spurting Bleed ... Spot in ulcer crater ... Risks #Grading #gastroenterology ... #EGD #clinical
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Paracentesis, EGD ... , Prophylactic variceal ... polypectomy, Capsule endoscopy ... jejunostomy tube, Endoscopic ... Bougie dilation, Endoscopic
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... GI Bleeding Pre-Endoscopy ... • 'Early endoscopy ... 24 hours Post-Endoscopy ... #management #gastroenterology