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diagnosis differential gibleed algorithm egd ugib bleed esophageal nonvariceal abdominal accessories achalasia antibiotic b12 chronic classification cobalamin colonoscopy deficiency devices
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Causes of GI Bleed ... fistula Lower: • Bowel ... sarcoma, Mesenteric ischemia ... Inflammatory: Ischemic ... colitis, UC/Chrons (IBD
Upper GI Bleed - Management Algorithm Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR Initial Stabilization Concern for
Upper GI Bleed - ... Upper GI bleed ... ± EGD Causes ... of Upper GI Bleed ... Disease • Variceal Bleeding
Forrest Classification of Upper GI Bleeding Acute Hemorrhage Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper ... GI Bleeding Acute ... Risk 60-100% Ib ... UGIB #diagnosis #endoscopy ... #gastroenterology
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm Occult (Stool + Occult blood and/or iron deficiency
, asymptomatic IBD ... RULE OUT BRISK Upper ... GI bleed, Diverticular ... Acute colitis (ischemia ... Diagnosis #Algorithm #Causes
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Family history of IBD ... Consider tumor • Upper ... Diverticulitis • IBD ... • GI malignancy ... Differential #Diagnosis #gastroenterology
Causes of Small Bowel Ulceration The diagnosis of IBD can’t be made or excluded by biopsies alone
Bowel Ulceration ... this requires clinical ... and endoscopic ... ) • Vascular: Ischaemia ... #differential #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy) Pill endoscopy • Able to
for Workup of GI ... bleed may obscure bleeding ... MatthewHoMD #GI ... Bleed #GIBleed #management ... #gastroenterology
Acute Non-Variceal Upper GI Bleeding Pre-Endoscopy Management: • Hemodynamic resuscitation • No routine NG tube • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... If peptic ulcer bleeding ... #NonVariceal #Upper ... #gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary Pre-Endoscopic Care: • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Upper GI Bleeding ... Infusion = 40mg IV BID ... NonVariceal #UpperGI #Bleeding ... #diagnosis #management
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
bleeding - EUS-FNA ... cardiac devices (ICD ... solid lesions (upper ... #Indications #Gastroenterology ... #Management
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