23 results
Management of Bleeding Gastric Varices

Gastric Varices
Saad-Caldwell Classification
Endoscopic Evaluation and Management
Endovascular Management

By Chuma G. Obineme, MD @TypicallySilent
Gastric Varices ... Gastric Varices ... Classification Endoscopic ... #Variceal #Bleeding ... #Management #gastroenterology
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 ... #Varices #Bleeding
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... Endoscopic variceal ... #Bleeding #Diagnosis ... #varices #hepatology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... acute esophageal variceal ... Variceal Banding ... Endoscopic Variceal ... #Bleeding #varices
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Procedures - Diagnostic ... Polypectomy - Variceal ... #Endoscopic #Bleeding ... #Risks #Gastroenterology
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
(Variceal) - ... esophageal gastric varices ... octreotide, EGD -> variceal ... varices): Non-selective ... #Hepatology #Gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Varices What ... that specific variceal ... - Varices in ... #Esophageal #Varices ... #variceal #Tips
Cirrhosis Timeline and Mortality Rate
Compensated Cirrhosis
Stage 1 - No varices (Annual Mortality Rate 1%)
Stage 2 -
Stage 1 - No varices ... 1%) Stage 2 - Varices ... Stage 4 - Gl bleeding ... Mortality #Timeline #diagnosis ... #hepatology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Ulcer Disease • Variceal ... Bleeding • Mallory ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
- Differential Diagnosis ... Post-Polypectomy Bleeding ... Colonic or rectal varices ... #Differential #Diagnosis ... #gastroenterology