11 results
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... - W/in 12 hrs of ... Bleed Management ... ScopingSundays #Esophageal ... #management #algorithm
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Causes of GI Bleed ... Diverticular, Cancer, Polyps ... #GIBleed #differential ... #diagnosis #Causes ... #algorithm
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Variceal Bleeding ... variceal bleed ... Endoscopic Variceal ... #Bleeding #varices ... ebm #evidence #gastroenterology
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Post-polypectomy, Polyps ... colonic/rectal varices ... #GIBleed #Differential ... gastrointestinal #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD Causes ... Ulcer Disease • Variceal ... Bleeding • Mallory ... #UGIB #GIBleed ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Post-Polypectomy Bleeding ... Hemorrhoids - Polyps ... Colonic or rectal varices ... #GIBleed #LGIB
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... Endoscopic variceal ... performed within 12 ... #Variceal #Bleeding
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... esophageal varices ... esophageal varices ... energy or heat to cause ... Aguila @enrrikke #Gastroenterology
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Gastronintestinal Bleed ... - Exclude bleeding ... 15%): • Gastro-esophageal ... varices Other: ... #Causes
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... banded if the lower ... #Esophageal #Varices ... Tricks #management #gastroenterology