21 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Upper GI bleed ... Disease • Variceal Bleeding ... gastrointestinal #gastroenterology
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... bleeding (LGIB) ... #management #Algorithm ... gastrointestinal #gastroenterology
The Minnesota Tube
-Flexible plastic tube with 4 important components
-Gastric Aspiration Port
-Gastric Balloon (400cc)
-Esophageal Balloon (inflated typically
-Used to stop bleeding ... in Upper GI bleed ... does not stop bleeding ... #Management #MinnesotaTube ... #UpperGI #GIBleed
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Tubes for Upper GI ... bleeding as well ... #UGIB #Upper #GIBleed ... #management #instructions ... #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Diverticulosis - Post-Polypectomy ... Bleeding - Hemorrhoids ... SCVMCMed #Lower #GIBleed ... Differential #Diagnosis #gastroenterology
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... Bleeding - Scoping ... Endoscopy 101 - Post-Banding ... Regarding Variceal Bleed ... ScopingSundays #Esophageal
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
melena - Other GI ... third of esophagus Treatment ... : - Treatment of ... Necrosis #diagnosis #management ... #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI ... Bleeding Pre-Endoscopy ... within 24 hours Post-Endoscopy ... NonVariceal #Upper #GIBleed ... #management #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... may obscure bleeding ... MatthewHoMD #GI ... #Bleed #GIBleed ... #management #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... of Acute Esophageal ... variceal bleed ... #varices #management ... ebm #evidence #gastroenterology