14 results
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Causes of GI Bleed ... Boerhaave syndrome), Variceal ... Hpylori), Gastritis, Variceal ... Hemorrhoids, Rectal varices ... #Lower #GIBleed
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... GI bleed Suspected ... GI Bleed: • Peptic ... Ulcer Disease • Variceal ... #GI #Bleed #UGIB
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... products E - Endoscopy ... Care - Endoscopy ... Bleed Management ... #Summary #Endoscopy
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... • 'Early endoscopy ... • Rescope if bleed ... #GIBleed #management
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... should receive endoscopic ... Stigmata #EGD #Endoscopy
The Minnesota Tube
-Flexible plastic tube with 4 important components
-Gastric Aspiration Port
-Gastric Balloon (400cc)
-Esophageal Balloon (inflated typically
stop bleeding in Upper ... GI bleed due to ... esophageal varices ... the esophageal varices ... MinnesotaTube #UpperGI #GIBleed
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... bleed (given empirically ... until endoscopy ... Variceal Banding ... Endoscopic Variceal
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... Bleeding Esophageal Varices ... that specific variceal ... - Varices in ... gastroenterology #fellows #endoscopy
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Minnesota Tubes for Upper ... GI Bleeds Minnesota ... particular esophageal varices ... #Tubes #UGIB #Upper ... #GIBleed #management
Algorithmic Approach to Severe Hematochezia
 - Hematochezia is due to a lower GI bleed ~85% of
bleed ~85% of the ... GI bleed with rapid ... GI bleed is usually ... endoscopy to exclude ... upper GI bleed.