10 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
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
forceps biopsy (EGD ... Polypectomy - Variceal ... #Gastroenterology ... #EGD #LowRisk # ... HighRisk #Diagnosis #Management
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Bleeding Rebleeding risks ... 1a - Spurting Bleed ... Ulcer #Bleeding #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
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
bleed (given empirically ... survival at 1 year ... without increased risk ... #management #ebm ... #evidence #gastroenterology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
• Towards the end ... Clinical • Under-recognized ... with Cardio-OB team ... multi-disciplinary team ... with Cardio-OB team
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Pre-Endoscopy Management ... routine NG tube • Risk ... • Rescope if bleed ... #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... perforation or tears ... mucosa Stricture Management ... Aguila @enrrikke #Gastroenterology ... #accessories #EGD
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... sens. >12 inc. risk ... • 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
Chagas disease) Clinical ... Three clinical features ... dysphagia (<1 year ... Achalasia #diagnosis #management ... #treatment #gastroenterology