9 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
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping ... not initiate in acute ... Bleed Management ... #Varices #Bleeding ... diagnosis #management #algorithm
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Gastronintestinal Bleed ... Differential Diagnosis Algorithm ... Acute Hematemesis ... - Exclude bleeding ... Gastro-esophageal varices
Stoma Indications, Output and Complications

Stoma Types:
 • End ileostomy
 • Loop ileostomy
 • End colostomy
 •
ileostomy • End ... • Peristomal pyoderma ... Infection • Bleeding ... infections • Stoma varices ... Complications #diagnosis #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
for Treatment of Acute ... ) - No role in acute ... bleed (given empirically ... #Bleeding #varices ... ebm #evidence #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
the varix that bled ... EGD and the Banding ... banded the one that bled ... Tricks #management #gastroenterology ... fellows #endoscopy #egd
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
may be herald bleed ... Typical "herald bleed ... • Primary AEF: arises ... patients with acute ... of EGD for dx AEF
Algorithm for Diagnosis of Acute Gastrointestinal Bleeding
 • Endoscopy
 • Colonoscopy
 • CT Angiogram
 • Catheter
Algorithm for Diagnosis ... of Acute Gastrointestinal ... Bleeding • Endoscopy ... #Bleeding #GIBleed ... #GI #bleed #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... If peptic ulcer bleeding ... • Rescope if bleed ... GIBleed #management #gastroenterology