9 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Upper GI bleed ... Causes of Upper GI Bleed ... Ulcer Disease • Variceal ... #UGIB #GIBleed
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... (VARICEAL-B): ... Controversies Regarding Variceal ... Bleed Management ... #Esophageal #Variceal
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... acute esophageal variceal ... bleed (given empirically ... • Endoscopic Variceal ... Endoscopic Variceal
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
paracentesis / TIPS ... B - Bleeding (Variceal ... esophageal gastric varices ... octreotide, EGD -> variceal ... (non-bleeding varices
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
Transhepatic Intrajugular Portosystemic Shunt (TIPS) 
Indications:
 • Ascites / Hepatic Hydrothorax
 • Variceal Bleeding
Cardiopulmonary, Renal, and
Portosystemic Shunt (TIPS ... Hydrothorax • Variceal ... EmoryGastroHep #TIPS ... Shunt #Hepatology #Gastroenterology ... #Management
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Tubes for Upper GI Bleeds ... particular esophageal varices ... #UGIB #Upper #GIBleed ... #management #instructions ... #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
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Active upper GI bleed ... Any etiology (variceal ... SBP #diagnosis #management