8 results
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
for Describing Endoscopic ... and Predicting Risk ... Clear liquid  Ib ... Classification #Endoscopy ... #EGD #Risk #Rebleeding
Lower GI Bleeding - Scoping Summary
 • Hematochezia
 • History and Physical
 • LGI Bleeding and
Lower GI Bleeding ... Physical • LGI Bleeding ... Antiplatelet Therapy • Risk ... #Summary #Endoscopy ... diagnosis #management #algorithm
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Rebleeding risks ... are without endoscopic ... Ib - Oozing Bleed ... - 50% Re-bleeding ... #Risks #Grading
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Risk 60-100% ... Ib - Active Oozing ... , Re-bleeding Risk ... Risk 40-50% IIb ... UGIB #diagnosis #endoscopy
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... sens. >12 inc. risk ... Infusion = 40mg IV BID ... NonVariceal #UpperGI #Bleeding ... diagnosis #management #algorithm
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Preoperative Risk ... any modifiable risk ... event, follow ACC algorithm ... (<1%): - Endoscopic ... - what is the bleeding
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Differential Diagnosis Algorithm ... • Occult UGI bleeding ... , asymptomatic IBD ... Overt Bleeding ... Patient • RULE OUT BRISK
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... cardiac devices (ICD ... infection and high risk ... #Prophylaxis #Endoscopy