15 results
Management of Bleeding Gastric Varices

Gastric Varices
Saad-Caldwell Classification
Endoscopic Evaluation and Management
Endovascular Management

By Chuma G. Obineme, MD @TypicallySilent
Management of Bleeding ... Gastric Varices ... Gastric Varices ... #Variceal #Bleeding ... #Management #gastroenterology
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... guideline Low Risk Procedures ... Polypectomy - Variceal ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Bleeding - Diagnosis ... and Management ... weeks after index procedure ... #Bleeding #Diagnosis ... #Management #treatment
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Ulcer Disease • Variceal ... Bleeding • Mallory ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... and the Banding Procedure ... #Tricks #management ... #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... Endoscopic Variceal ... #Bleeding #varices ... #management #ebm ... #evidence #gastroenterology
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Procedure Risks ... , Prophylactic variceal ... bleeding, Small ... thresholds #targets #management ... #risk #procedures
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Mnemonic - Cirrhosis Management ... bactrim or FQ B - Bleeding ... - Ppx (non-bleeding ... Checklist #Mnemonic #Management ... Diagnosis #Hepatology #Gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
particular esophageal varices ... and esophageal bleeding ... Upper #GIBleed #management ... #instructions #gastroenterology
Transhepatic Intrajugular Portosystemic Shunt (TIPS) 
Indications:
 • Ascites / Hepatic Hydrothorax
 • Variceal Bleeding
Cardiopulmonary, Renal, and
Hydrothorax • Variceal ... Bleeding Cardiopulmonary ... Shunt #Hepatology #Gastroenterology ... #Management