13 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... - Diagnostic endoscopy ... Polypectomy - Variceal ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
products E - Endoscopy ... settings - Pre-endoscopic ... Care - Endoscopy ... Bleed Management ... #Summary #Endoscopy
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Summary PRE-ENDOSCOPY ... Endoscopic variceal ... #Esophageal #Variceal ... #varices #hepatology
Management of Bleeding Gastric Varices

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

By Chuma G. Obineme, MD @TypicallySilent
Gastric Varices ... Gastric Varices ... Classification Endoscopic ... #Variceal #Bleeding ... #Management #gastroenterology
Variceal Screening Algorithm in Cirrhosis

#Variceal #Screening #Algorithm #cirrhosis #hepatology #endoscopy #EGD #management
Variceal Screening ... Cirrhosis #Variceal ... cirrhosis #hepatology #endoscopy ... #EGD #management
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... until endoscopy ... Variceal Banding ... Endoscopic Variceal ... #management #ebm
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 ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Scoping Summary Pre-Endoscopic ... • Know your endoscopic ... /primary team Endoscopic ... #diagnosis #management
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
, Prophylactic variceal ... polypectomy, Capsule endoscopy ... jejunostomy tube, Endoscopic ... Bougie dilation, Endoscopic ... thresholds #targets #management
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... GI Bleeding Pre-Endoscopy ... • 'Early endoscopy ... 24 hours Post-Endoscopy ... #management #gastroenterology