20 results
The Minnesota Tube
-Flexible plastic tube with 4 important components
-Gastric Aspiration Port
-Gastric Balloon (400cc)
-Esophageal Balloon (inflated typically
-Used to stop bleeding ... varices -Traction ... varices. ... does not stop bleeding ... MinnesotaTube #UpperGI #GIBleed
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Ulcer Disease • Variceal ... Bleeding • Mallory ... Diagnosis #management #Algorithm ... gastrointestinal #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
varices) when interventional ... of gastric and esophageal ... bleeding as well ... #UGIB #Upper #GIBleed ... #instructions #gastroenterology
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... Endoscopy - W/in 12 ... Bleed Management ... ScopingSundays #Esophageal ... diagnosis #management #algorithm
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Differential Diagnosis Algorithm ... colonic/rectal varices ... #LGIB #GIBleed ... Differential #Diagnosis #Algorithm ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Post-Polypectomy Bleeding ... Colonic or rectal varices ... SCVMCMed #Lower #GIBleed ... Differential #Diagnosis #gastroenterology
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Gastronintestinal Bleed ... Differential Diagnosis Algorithm ... - Exclude bleeding ... 15%): • Gastro-esophageal ... varices Other:
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... Suspected lower GI bleeding ... #LGIB #GIBleed ... #management #Algorithm ... gastrointestinal #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Treatment of Acute Esophageal ... Variceal Bleeding ... variceal bleed ... #Bleeding #varices ... ebm #evidence #gastroenterology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... performed within 12 ... adam_c_winters #Esophageal ... #Variceal #Bleeding