13 results
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
on Upper Endoscopy ... RodriguezParra_ #active ... #Upper #Endoscopy ... #EGD #gastroenterology ... #clinical
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper ... 60-100% Ib - Active ... Classification #Upper ... UGIB #diagnosis #endoscopy ... #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Disease • Variceal Bleeding ... UGIB #GIBleed #Differential ... Diagnosis #management #Algorithm ... gastrointestinal #gastroenterology
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... Resuscitation/Restrictive (Critical ... , consider for active ... - W/in 12 hrs of ... diagnosis #management #algorithm
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... GBS, high sens. >12 ... protection/AMS/active ... NonVariceal #UpperGI #Bleeding ... diagnosis #management #algorithm
Endoscopic Findings in Active Ulcerative Colitis
 • Ulcer with spontaneous bleeding
 • Erythema
 • Mucosal scar
Endoscopic Findings ... in Active Ulcerative ... with spontaneous bleeding ... #Colitis #UC #clinical ... #gastroenterology
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Fatigue and IBD Algorithm ... fatigue despite clinical ... Pearls: • IDA and active ... Receptor (sTfR) to differentiate ... have fatigue w/ active
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... but anticipate active ... in the mid or upper ... Tricks #management #gastroenterology ... #fellows #endoscopy
Clear Cap Tamponade of Bleeding on Endoscopy
Clear Cap Crowd Control : stop active bleeding using tamponade
on Endoscopy Clear ... Control : stop active ... bleeding using ... #Endoscopy #clinical ... #EGD #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... solid lesions (upper ... the setting of active ... #Indications #Gastroenterology