11 results
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... risk of further bleeding ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD ... #Endoscopy
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
on Upper Endoscopy ... 87 year old female ... Mallory Weiss tear ... #Upper #Endoscopy ... #EGD #gastroenterology
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 ... Disease • Variceal Bleeding ... gastrointestinal #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... perforation or tears ... mucosa Stricture Management ... laceration in upper ... #EGD #colonoscopy
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
(Other than EGD ... + Colonoscopy) ... may obscure bleeding ... #GIBleed #management ... #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... • Rescope if bleed ... #NonVariceal #Upper ... #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
esophageal variceal bleed ... =0.53 • Endoscopic ... survival at 1 year ... #varices #management ... ebm #evidence #gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... Prokinetics dec. repeat EGD ... • Start with EGD ... with ICU/primary team ... #diagnosis #management
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... the varix that bled ... in the mid or upper ... EGD and the Banding ... #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... solid lesions (upper ... #EGD #Indications ... #Gastroenterology ... #Management