14 results
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
on Upper Endoscopy ... Acute bleeding in ... Band Ligation + Epi ... #Upper #Endoscopy ... #EGD #gastroenterology
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
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
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
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... Causes of Upper ... Disease • Variceal Bleeding ... Upper #GI #Bleed #UGIB ... gastrointestinal #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... energy or heat to cause ... pictures as it passes ... Aguila @enrrikke #Gastroenterology ... #accessories #EGD
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
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... IV PPI? ... If peptic ulcer bleeding ... GIBleed #management #gastroenterology ... #UGIB
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
calling a consult HPI ... paracentesis - Prior endoscopy ... shock, sepsis, GIB ... Calling #Referral #Hepatology ... #Gastroenterology