14 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 ... Disease • Variceal Bleeding ... #UGIB #GIBleed ... gastrointestinal #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Classification #Upper #GIBleed ... #UGIB #diagnosis ... #endoscopy #gastroenterology ... #egd
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
bleeding as well ... Minnesota #Tubes #UGIB ... #Upper #GIBleed ... #management #instructions ... #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... Pre-Endoscopy Management ... , test and treat ... #management #gastroenterology ... #UGIB
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... and Management ... ligation - EGD ... #treatment #endoscopy
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... of Acute Esophageal ... variceal bleed ... #varices #management ... ebm #evidence #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... precise site of bleeding ... mucosa Stricture Management ... for palliative treatment ... Aguila @enrrikke #Gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
(Other than EGD ... double-balloon endoscopy ... may obscure bleeding ... #GIBleed #management ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
present with upper GIB ... Diagnosis: - EGD ... : - Treatment of ... Necrosis #diagnosis #management ... #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... EGD and the Banding ... #gastroenterology ... #egd #banding