8 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... Ib - Oozing Bleed ... #Forrest #Classification ... Risks #Grading #gastroenterology ... #EGD #clinical
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
of Upper GI Bleeding ... Risk 60-100% Ib ... - Active Oozing ... diagnosis #endoscopy #gastroenterology ... #egd
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... ± EGD Causes ... Disease • Variceal Bleeding ... Diagnosis #management #Algorithm ... gastrointestinal #gastroenterology
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Helpful Clues for ... Lower GI Bleeding ... hematochezia if the bleeding ... Lower GI Bleed ( ... versus #diagnosis #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
banded if the lower ... EGD and the Banding ... varix upon scoping ... Tricks #management #gastroenterology ... fellows #endoscopy #egd
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Occult and Lower ... , asymptomatic IBD ... Overt Bleeding ... OUT BRISK Upper GI ... #Causes
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI ... Bleeding - Scoping ... GBS, high sens. ... • Start with EGD ... diagnosis #management #algorithm
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
and incomplete lower ... • Failure of lower ... sphincter to relax EGD ... leading to myenteric ... management #treatment #gastroenterology