8 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
are without endoscopic ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Consult GI ± EGD ... Disease • Variceal Bleeding ... #Algorithm #gastrointestinal ... #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Risk 60-100% Ib ... Classification #Upper #GIBleed ... UGIB #diagnosis #endoscopy ... #gastroenterology ... #egd
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... Diagnosis and Management ... ligation - EGD ... performed within 12 ... Surveillance EGD
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... PRINCIPLES OF MANAGEMENT ... - W/in 12 hrs of ... Regarding Variceal Bleed ... #algorithm #VARICEALB
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... GBS, high sens. >12 ... Infusion = 40mg IV BID ... #diagnosis #management ... #algorithm
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
(Other than EGD ... double-balloon endoscopy ... may obscure bleeding ... #GIBleed #management ... #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... cardiac devices (ICD ... #EGD #Indications ... #Gastroenterology ... #Management