11 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
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 ... #UGIB #GIBleed ... gastrointestinal #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
bleed (given empirically ... Endoscopic Variceal ... #Bleeding #varices ... #management #ebm ... #evidence #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... Pre-Endoscopy Management ... NonVariceal #Upper #GIBleed ... #management #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... EGD and the Banding ... #Tricks #management ... #gastroenterology ... #egd #banding
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Upper GI Bleeding ... a/w adverse CP events ... • Start with EGD ... #diagnosis #management
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
(Other than EGD ... sensitivity for detection ... may obscure bleeding ... #GIBleed #management ... #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... via cold or hot resection ... mucosa Stricture Management ... Aguila @enrrikke #Gastroenterology ... #accessories #EGD
Endoscopic Submucosal Dissection (ESD) - Polyp Resection Techniques

Technique:
 • The polyp is then lifted by submucosal
Endoscopic Submucosal ... Dissection (ESD ... perforation and bleeding ... @enrrikke #Endoscopic ... #Management #gastroenterology
Hot Endoscopic Mucosal Resection (EMR) - Polyp Resection Techniques

Technique:
The polyp is initially lifted by submucosal iniection
Hot Endoscopic Mucosal ... scarring • Adverse events ... cautery (delayed bleeding ... #EMR #Polyp #Management ... #gastroenterology