151 results
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 ... #egd
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... Risks #Grading #gastroenterology ... #EGD #clinical
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... Disease • Variceal Bleeding ... Upper #GI #Bleed #UGIB ... gastrointestinal #gastroenterology
Bleeding Diverticulosis on Colonoscopy

Painless large volume lower GIB in man with known diverticulosis on anticoagulation.

Andy Tau,
Bleeding Diverticulosis ... large volume lower GIB ... Diverticulosis #Bleeding ... Colonoscopy #clinical #gastroenterology ... #LGIB
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Suspected lower GI bleeding ... (LGIB): • Hematochezia ... lesion • Previous LGIB ... Known potential LGIB ... gastrointestinal #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... hematochezia if the bleeding ... versus #diagnosis #gastroenterology ... #ugib #lgib
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... forceps biopsy (EGD ... Endoscopy #Endoscopic #Bleeding ... #Risks #Gastroenterology ... #EGD #LowRisk #
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk of Rebleeding ... risk of further bleeding ... #Diagnosis #Gastroenterology ... #UpperGI #Rebleeding ... Prevalence #Stigmata #EGD
Colonoscopy showing a protruding vessel with active bleeding and normal surrounding mucosa suggestive of Dieulafoy's lesion.

#clinical
vessel with active bleeding ... clinical #diagnosis #Gastroenterology ... ObscureGIbleed #LGIB
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... Acute bleeding in ... active #Gastric #Bleeding ... Upper #Endoscopy #EGD ... #gastroenterology