559 results
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... Bleeding - Scoping ... OF MANAGEMENT (VARICEAL-B ... - Refractory Bleeding ... #Varices #Bleeding
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 ... Gastric Varices ... EmoryGastroHep #Gastric #Varices ... #Variceal #Bleeding
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... Bleeding • Octreotide ... acute esophageal variceal ... Endoscopic Variceal ... #Bleeding #varices
Beta-Blockers in Cirrhosis
 • Pathophysiology
 • Indications:  Prevention of decompensation, Prevention of first variceal bleeding,
Prevention of first variceal ... bleeding, Prevention ... of variceal rebleeding
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
bactrim or FQ B - Bleeding ... (Variceal) - ... esophageal gastric varices ... - Ppx (non-bleeding ... varices): Non-selective
Variceal bleeding
Variceal bleeding
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... #Esophageal #Variceal ... #Bleeding #Diagnosis ... treatment #endoscopy #varices
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Management of Bleeding ... Esophageal Varices ... anticipate active bleeding ... - If without bleeding ... is not actively bleeding
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
• Ascites • Variceal ... Bleeding • Hepatic
Cirrhosis Timeline and Mortality Rate
Compensated Cirrhosis
Stage 1 - No varices (Annual Mortality Rate 1%)
Stage 2 -
Stage 1 - No varices ... 1%) Stage 2 - Varices ... Stage 4 - Gl bleeding