20 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 ... Bleeding • Mallory ... gastrointestinal #gastroenterology
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
1a - Spurting Bleed ... - 60-100% Re-bleeding ... Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
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
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... forceps biopsy (EGD ... Polypectomy - Variceal ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
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
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping ... PRINCIPLES OF MANAGEMENT ... Resuscitation/Restrictive (Critical ... Bleed Management ... #Varices #Bleeding
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
bleed (given empirically ... survival at 1 year ... #Bleeding #varices ... #management #ebm ... #evidence #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 ... • Primary AEF: arises ... may undergo EGD
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Mnemonic - Cirrhosis Management ... PPI, octreotide, EGD ... - Ppx (non-bleeding ... RUQUS + AFP (q6m), EGD ... Diagnosis #Hepatology #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 ... and esophageal bleeding ... Upper #GIBleed #management ... #instructions #gastroenterology