9 results
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 ... Consult GI ± EGD ... Ulcer Disease • Variceal ... #UGIB #GIBleed
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... (VARICEAL-B): ... Bleed Management ... #Esophageal #Variceal ... #algorithm #VARICEALB
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Bleeding Risk - Summary ... forceps biopsy (EGD ... Polypectomy - Variceal ... Bleeding #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... acute esophageal variceal ... bleed (given empirically ... • Endoscopic Variceal ... Endoscopic Variceal
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... the varix that bled ... that specific variceal ... #variceal #Tips ... #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Pre-Endoscopy Management ... • Rescope if bleed ... NonVariceal #Upper #GIBleed ... #management #gastroenterology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
Summary Epidemiology ... the duodenum Clinical ... may be herald bleed ... Typical "herald bleed ... patients with massive bleed
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Bleeding - Scoping Summary ... • Start with EGD ... with ICU/primary team ... Endoscopy #diagnosis #management
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Achalasia Summary ... sphincter to relax EGD ... dysphagia (<1 year ... Achalasia #diagnosis #management ... #treatment #gastroenterology