11 results
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 ... EmoryGastroHep #Gastric #Varices ... #Variceal #Bleeding ... #Management #gastroenterology
Varicella (Chickenpox) 
Photo credit, Josh Fierer, M.D.

Charlie Goldberg, M.D. - UCSD Catalog of Clinical Images

#Clinical #Photo
Varicella (Chickenpox ... ) Photo credit ... Images #Clinical #Photo ... #Dermatology #SkinRash ... #Varicella #Chickenpox
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Ulcer Disease • Variceal ... Upper #GI #Bleed #UGIB ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
B - Bleeding (Variceal ... esophageal gastric varices ... octreotide, EGD -> variceal ... (non-bleeding varices ... Diagnosis #Hepatology #Gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... acute esophageal variceal ... • Endoscopic Variceal ... Endoscopic Variceal ... @AnthonyXuMD #Variceal
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Bleeding Esophageal Varices ... that specific variceal ... - Varices in ... during banding, varices ... #variceal #Tips
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
particular esophageal varices ... Minnesota #Tubes #UGIB ... Upper #GIBleed #management ... #instructions #gastroenterology
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Polypectomy - Variceal ... Bleeding #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Transhepatic Intrajugular Portosystemic Shunt (TIPS) 
Indications:
 • Ascites / Hepatic Hydrothorax
 • Variceal Bleeding
Cardiopulmonary, Renal, and
Hydrothorax • Variceal ... Shunt #Hepatology #Gastroenterology ... #Management
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Pre-Endoscopy Management ... Anti-thrombotic management ... #gastroenterology ... #UGIB