18 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 ... Ulcer Disease • Variceal ... Bleeding • Mallory ... #GIBleed #Differential
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping ... PRINCIPLES OF MANAGEMENT ... Endoscopy 101 - Post-Banding ... Bleed Management ... #Varices #Bleeding
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... Suspected lower GI bleeding ... Unstable (Rule out upper ... #management #Algorithm ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Diverticulosis - Post-Polypectomy ... Bleeding - Hemorrhoids ... Colonic or rectal varices ... SCVMCMed #Lower #GIBleed ... Differential #Diagnosis #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 ... to esophageal varices ... #Management #MinnesotaTube ... #UpperGI #GIBleed
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Minnesota Tubes for Upper ... particular esophageal varices ... and esophageal bleeding ... #GIBleed #management ... #instructions #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... within 24 hours Post-Endoscopy ... #GIBleed #management ... #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... bleed (given empirically ... #Bleeding #varices ... #management #ebm ... #evidence #gastroenterology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Bleeding - Diagnosis ... and Management ... imaging (anatomy) POST-ENDOSCOPY ... #Bleeding #Diagnosis ... #Management #treatment
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... the mid or upper ... higher rate of post-band ... #Tricks #management ... #gastroenterology