10 results
Variceal Screening Algorithm in Cirrhosis

#Variceal #Screening #Algorithm #cirrhosis #hepatology #endoscopy #EGD #management
Variceal Screening ... Cirrhosis #Variceal ... Algorithm #cirrhosis #hepatology ... #endoscopy #EGD ... #management
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
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Diagnosis and Management ... PERI-ENDOSCOPY Endoscopic variceal ... #Esophageal #Variceal ... #hepatology
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
forceps biopsy (EGD ... Polypectomy - Variceal ... Bleeding #Risks #Gastroenterology ... #EGD #LowRisk # ... HighRisk #Diagnosis #Management
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Mnemonic - Cirrhosis Management ... B - Bleeding (Variceal ... -> variceal ligation ... #Diagnosis #Hepatology ... #Gastroenterology
Transhepatic Intrajugular Portosystemic Shunt (TIPS) 
Indications:
 • Ascites / Hepatic Hydrothorax
 • Variceal Bleeding
Cardiopulmonary, Renal, and
Hydrothorax • Variceal ... Portosystemic #Shunt #Hepatology ... #Gastroenterology ... #Management
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... that specific variceal ... EGD and the Banding ... #variceal #Tips ... #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
Preventing Decompensation in Cirrhosis 

cACLD, CSPH, and the Rule of Five
Prevention of Decompensation
Nonselective Beta Blockers (NSBB)
Preventing
Preventing recurrent variceal ... Prevention #treatment #management ... #hepatology #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Pre-Endoscopy Management ... • Rescope if bleed ... NonVariceal #Upper #GIBleed ... #management #gastroenterology