16 results
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping ... Care - Endoscopy ... - Refractory Bleeding ... #Varices #Bleeding ... diagnosis #management #algorithm
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... from the ulcer caused ... around 90% of cases ... Endoscopic Variceal ... #Bleeding #varices
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Causes of GI Bleed ... Upper: • Esophagus ... differential #diagnosis #Causes ... #algorithm
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... of Upper GI Bleeding ... enrrikke #Forrest #Classification ... #Upper #GIBleed ... UGIB #diagnosis #endoscopy
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... unclear source (in case ... Endoscopic variceal ... #Bleeding #Diagnosis
Management of Bleeding Gastric Varices

Gastric Varices
Saad-Caldwell Classification
Endoscopic Evaluation and Management
Endovascular Management

By Chuma G. Obineme, MD @TypicallySilent
Management of Bleeding ... Gastric Varices ... Saad-Caldwell Classification ... Endoscopic Evaluation ... #Variceal #Bleeding
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Consult GI ± EGD Causes ... Ulcer Disease • Variceal ... Bleeding • Mallory ... Diagnosis #management #Algorithm
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Upper Gastronintestinal ... Differential Diagnosis Algorithm ... - Exclude bleeding ... Gastro-esophageal varices ... #Causes
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... - If without bleeding ... the mid or upper ... gastroenterology #fellows #endoscopy
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Upper GI Bleeding ... Scoping Summary Pre-Endoscopic ... NonVariceal #UpperGI #Bleeding ... diagnosis #management #algorithm