14 results
Variceal Screening Algorithm in Cirrhosis

#Variceal #Screening #Algorithm #cirrhosis #hepatology #endoscopy #EGD #management
Variceal Screening ... Algorithm in Cirrhosis ... #Variceal #Screening ... #hepatology #endoscopy ... #EGD #management
Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening ... Algorithm in Cirrhosis ... treat NSBB/EVL #Variceal ... #EGD #varices # ... hepatology #endoscopy
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... OF MANAGEMENT (VARICEAL-B ... Controversies Regarding Variceal ... #Esophageal #Variceal ... #VARICEALB #Mnemonic
Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
surveillance of varices ... #Variceal #Screening ... #Surveillance #Hepatology ... #EGD #PrimaryCare ... #Algorithm
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Endoscopic variceal ... #Esophageal #Variceal ... #endoscopy #varices ... #hepatology
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... forceps biopsy (EGD ... Polypectomy - Variceal ... - Resections (ESD ... Gastroenterology #EGD
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... Acute Esophageal Variceal ... acute esophageal variceal ... Variceal Banding ... Endoscopic Variceal
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Bleed - Management Algorithm ... Consult GI ± EGD ... Ulcer Disease • Variceal ... Diagnosis #management #Algorithm
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Paracentesis, EGD ... , Prophylactic variceal ... polypectomy, Capsule endoscopy ... jejunostomy tube, Endoscopic ... Bougie dilation, Endoscopic
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... Scoping Summary Pre-Endoscopic ... Prokinetics dec. repeat EGD ... • Start with EGD ... diagnosis #management #algorithm