31 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... enteroscopy - ERCP ... #Endoscopic #Bleeding ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Endoscopic Therapy in Upper Gastrointestinal Bleeding

 • Risk Stratification
 • Red Blood Cell Transfusion
 • Pre-Endoscopic
Gastrointestinal Bleeding ... Medical Management ... #UGIB #Upper #Gastrointestinal ... #Bleeding #management ... #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Active Oozing, Re-bleeding ... Upper #GIBleed #UGIB ... #diagnosis #endoscopy ... #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Disease • Variceal Bleeding ... Upper #GI #Bleed #UGIB ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - Management ... Suspected lower GI bleeding ... Known potential LGIB ... #GIBleed #management ... gastrointestinal #gastroenterology
Percutaneous Endoscopic Gastrostomy (PEG) Complications and Prevention
 • Cardiopulmonary events
 • Buried bumper
 • Bleeding
 •
Percutaneous Endoscopic ... Buried bumper • Bleeding ... • Liver injury ... Complications #Management ... #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... Pre-Endoscopy Management ... If peptic ulcer bleeding ... #gastroenterology ... #UGIB
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Prophylactic variceal bleeding ... polypectomy, Capsule endoscopy ... balloon enteroscopy, ERCP ... tumor ablation, ERCP ... thresholds #targets #management
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... precise site of bleeding ... mucosa Stricture Management ... instruments in ERCP ... Aguila @enrrikke #Gastroenterology
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ERCP ... Therapeutic ERCP ... Stone extraction, Endoscopic ... #Indications #management ... #gastroenterology