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Post sphincterotomy bleeding- rare visible bleeding vessel.

Andy Tau, MD @DrBloodandGuts

#sphincterotomy #bleeding #vessel #clinical #egd #endoscopy #video
Post sphincterotomy ... bleeding- rare ... visible bleeding ... DrBloodandGuts #sphincterotomy ... #bleeding #vessel
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... ERCP with out sphincterotomy ... - ERCP with Sphincterotomy ... Endoscopy #Endoscopic #Bleeding
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Prophylactic variceal bleeding ... ablation, ERCP with sphincterotomy
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
precise site of bleeding ... post-polypectomy bleeding ... as fistula, Gl bleeding ... for tamponade of bleeding ... tissue death • SPHINCTEROTOME
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... Clot - 20-30% Re-bleeding ... Peptic #Ulcer #Bleeding
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
Patients With Bleeding ... Predicting Risk of Rebleeding ... Diet I Active bleeding ... II Stigmata of bleeding ... Endoscopy #EGD #Risk #Rebleeding
Beta-Blockers in Cirrhosis
 • Pathophysiology
 • Indications:  Prevention of decompensation, Prevention of first variceal bleeding,
first variceal bleeding ... Prevention of variceal rebleeding
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper GI Bleeding ... Active Spurting, Re-bleeding ... Active Oozing, Re-bleeding ... Ulcer Base, Re-bleeding ... without Active Bleeding
Lower GI Bleeding - Scoping Summary
 • Hematochezia
 • History and Physical
 • LGI Bleeding and
Lower GI Bleeding ... Physical • LGI Bleeding ... Stratification in GI Bleeding ... ScopingSundays #LowerGI #Bleeding
The Causes of Per Vaginal Bleeding

#Vaginal #Bleeding #Differential #Causes #Diagnosis #OBGyn #Gynecology
of Per Vaginal Bleeding ... #Vaginal #Bleeding