13 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
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Risk - Summary ... forceps biopsy (EGD ... Polypectomy - Variceal ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping Summary ... PRINCIPLES OF MANAGEMENT ... Bleed Management ... #Summary #Endoscopy ... #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
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Diagnosis and Management ... Summary PRE-ENDOSCOPY ... Endoscopic variceal ... ligation - EGD ... #treatment #endoscopy
Management of Adverse Events in Colonoscopy
 - Bleed during an EMR
 - Post Polypectomy Bleed
 -
Colonoscopy - Bleed ... Post Polypectomy Bleed ... Adverse Events Summary ... complications #gastroenterology ... #endoscopy
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
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... bleed (given empirically ... Endoscopic Variceal ... #management #ebm ... #evidence #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Management: • ... • Rescope if bleed ... NonVariceal #Upper #GIBleed ... #management #gastroenterology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Summary Epidemiology ... may be herald bleed ... Typical "herald bleed ... • Primary AEF: arises ... patients with massive bleed