14 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Upper GI bleed ... Consult GI ± EGD ... Ulcer Disease • Variceal ... #UGIB #GIBleed
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Tubes for Upper GI Bleeds ... varices) when interventional ... Minnesota #Tubes #UGIB ... #Upper #GIBleed ... #gastroenterology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Diagnosis and Management ... Endoscopic variceal ... ligation - EGD ... #treatment #endoscopy
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... PRINCIPLES OF MANAGEMENT ... Bleed Management ... ScopingSundays #Esophageal ... #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 ... Re-bleeding Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... • Rescope if bleed ... NonVariceal #Upper #GIBleed ... #management #gastroenterology ... #UGIB
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... variceal bleed ... Endoscopic Variceal ... #management #ebm ... #evidence #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI Bleed ... (Other than EGD ... non-therapeutic, massive bleed ... MatthewHoMD #GI #Bleed ... #GIBleed #management
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
GI Bleed - Rapid ... Stabilize: • Bleed ... from above • Bleed ... intervention (EGD ... #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... the varix that bled ... EGD and the Banding ... #gastroenterology