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gastroenterology egd gibleed algorithm upper lgib lower nonvariceal summary accessories antibiotic classification comparison devices endoscopic ercp forrest guidelines hematochezia highrisk
Endoscopic Bleeding Risk - Summary points from ASGE guideline Low Risk Procedures - Diagnostic endoscopy
Endoscopic Bleeding ... Procedures - Diagnostic ... - EUS with out ... #Endoscopic #Bleeding ... #Management #Guidelines
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... (proximal to ligament ... ratio > 30 (using US ... distal to ligament ... comparison #versus #diagnosis
Forrest Classification of Upper GI Bleeding Acute Hemorrhage Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper GI ... Risk 60-100% ... Risk 50% Signs ... Upper #GIBleed #UGIB ... #diagnosis #endoscopy
Lower GI Bleeding - Scoping Summary • Hematochezia • History and Physical • LGI Bleeding and
Lower GI Bleeding ... Antiplatelet Therapy • Risk ... #Summary #Endoscopy ... #hematochezia #diagnosis ... #management #algorithm
Procedure Risks and Platelet Targets for Transfusion LOW RISK - Transfuse ≥ 20,000/uL • Paracentesis, EGD or
Paracentesis, EGD or colonoscopy ... Prophylactic variceal bleeding ... Push enteroscopy, Diagnostic ... dilation or stent, EUS ... thresholds #targets #management
Algorithm for the management of patients presenting with acute Lower GI Bleed High-risk patients Multiple high-risk clinical features.a
with acute Lower GI ... symptorns of ongoing bleeding ... unit: exclude an UGIB ... for unprepped colonoscopy ... stable, no ongoing bleeding
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists Biopsy Forceps:
mucosa Stricture Management ... sections of the GI ... procedures GI Endoscopes ... ENTEROSCOPE - Diagnostic ... - Diagnostic, therapeutic
Acute Non-Variceal Upper GI Bleeding Pre-Endoscopy Management: • Hemodynamic resuscitation • No routine NG tube • Risk
Non-Variceal Upper GI ... Bleeding Pre-Endoscopy ... routine NG tube • Risk ... If peptic ulcer bleeding ... gastroenterology #UGIB
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) Give Antibiotics: - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... bleeding - EUS-FNA ... Peritoneal dialysis & colonoscopy ... infection and high risk ... Gastroenterology #Management
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary Pre-Endoscopic Care: • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Upper GI Bleeding ... sens. >12 inc. risk ... NonVariceal #UpperGI #Bleeding ... #diagnosis #management
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