20 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

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

 • Risk Stratification
 • Red Blood Cell Transfusion
 • Pre-Endoscopic
Endoscopic Therapy ... • Endoscopic ... #UGIB #Upper #Gastrointestinal ... #Bleeding #management ... #gastroenterology
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
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
PMID: 11870374) - Endoscopic ... =0.53 • Endoscopic ... Endoscopic Variceal ... #Bleeding #varices ... #management #ebm
Management of Bleeding Gastric Varices

Gastric Varices
Saad-Caldwell Classification
Endoscopic Evaluation and Management
Endovascular Management

By Chuma G. Obineme, MD @TypicallySilent
Management of Bleeding ... Gastric Varices ... Classification Endoscopic ... #Variceal #Bleeding ... #Management #gastroenterology
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 ... #Summary #Endoscopy ... #diagnosis #management
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Upper #GIBleed #UGIB ... #diagnosis #endoscopy ... #gastroenterology ... #egd
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 ... Bleeding • Mallory ... Upper #GI #Bleed #UGIB ... gastrointestinal #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Pre-Endoscopy Management ... • 'Early endoscopy ... 24 hours Post-Endoscopy ... #UGIB
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
, Prophylactic variceal ... bleeding, Small ... polypectomy, Capsule endoscopy ... jejunostomy tube, Endoscopic ... Bougie dilation, Endoscopic