23 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Consult GI ± EGD ... Ulcer Disease • Variceal ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... PRINCIPLES OF MANAGEMENT ... Resuscitation/Restrictive (Critical ... Bleed Management ... Endoscopy #diagnosis #management
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
forceps biopsy (EGD ... Polypectomy - Variceal ... Bleeding #Risks #Gastroenterology ... #EGD #LowRisk # ... HighRisk #Diagnosis #Management
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Endoscopy 87 year ... Mallory Weiss tear ... Upper #Endoscopy #EGD ... #gastroenterology ... #clinical
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
1a - Spurting Bleed ... Re-bleeding Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... the varix that bled ... EGD and the Banding ... #Tricks #management ... #gastroenterology
Trichobezoar on Endoscopy
13 years old.  Vomiting since 1 year with hair loss and abdominal lump.
Vomiting since 1 year ... bezoar #Endoscopy #EGD ... #clinical #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... bleed (given empirically ... survival at 1 year ... #management #ebm ... #evidence #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Tubes for Upper GI Bleeds ... particular esophageal varices ... Upper #GIBleed #management ... #instructions #gastroenterology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Diagnosis and Management ... the duodenum Clinical ... may be herald bleed ... Typical "herald bleed ... Sensitivity of EGD