19 results
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
on Upper Endoscopy ... Band Ligation + Epi ... #Upper #Endoscopy ... #EGD #gastroenterology ... #clinical
Esophageal Perforation on Endoscopy
Male 68yo hepatopathy & ACO.  UpperGI bleeding & sengstaken tube. What’s your
Esophageal Perforation ... UpperGI bleeding ... @EQuirurgica #Esophageal ... #EGD #clinical ... #gastroenterology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... Hgb 7-9 g/dL PPI ... ligation - EGD ... #varices #hepatology
Boerhaave Syndrome on Endoscopy
Another spontaneous esophageal perforation (Boerhaave Syndrome) with gross mediastinal soiling from retching a
Boerhaave Syndrome on Endoscopy ... Another spontaneous esophageal ... #EGD #esophageal ... #perforation #clinical ... #gastroenterology
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
are without endoscopic ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... Risks #Grading #gastroenterology ... #EGD #clinical
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Treatment of Acute Esophageal ... mortality benefit • PPI ... role in acute esophageal ... from the ulcer caused ... ebm #evidence #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... precise site of bleeding ... energy or heat to cause ... pictures as it passes ... Aguila @enrrikke #Gastroenterology
Basics of Esophageal Strictures
 - History & Physical
 - When is a barium swallow helpful?
 -
agents before EGD ... strictures, do you need PPI ... Strictures #Basics #endoscopy ... #egd #management ... #diagnosis #gastroenterology
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Ddx: Gastric + esophageal ... - Tx: PPI, octreotide ... , EGD -> variceal ... Management #Diagnosis #Hepatology ... #Gastroenterology
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Chagas disease) Clinical ... leading to myenteric ... Three clinical features ... , or endoscopic ... management #treatment #gastroenterology