18 results
Management of Bleeding Gastric Varices

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

By Chuma G. Obineme, MD @TypicallySilent
Management of Bleeding ... Gastric Varices ... Gastric Varices ... #Variceal #Bleeding ... #Management #gastroenterology
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... (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 ... Endoscopic variceal ... #Esophageal #Variceal ... #endoscopy #varices ... #hepatology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... Variceal Banding ... Endoscopic Variceal ... #Bleeding #varices ... #management #ebm
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Polypectomy - Variceal ... #Endoscopic #Bleeding ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Variceal Screening Algorithm in Cirrhosis

#Variceal #Screening #Algorithm #cirrhosis #hepatology #endoscopy #EGD #management
Variceal Screening ... Cirrhosis #Variceal ... Algorithm #cirrhosis #hepatology ... #endoscopy #EGD ... #management
Beta-Blockers in Cirrhosis
 • Pathophysiology
 • Indications:  Prevention of decompensation, Prevention of first variceal bleeding,
Prevention of first variceal ... bleeding, Prevention ... of variceal rebleeding ... BetaBlockers #Cirrhosis #hepatology ... #management #pharmacology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... Varices What ... that specific variceal ... - Varices in ... #variceal #Tips
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Ulcer Disease • Variceal ... Bleeding • Mallory ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
Transhepatic Intrajugular Portosystemic Shunt (TIPS) 
Indications:
 • Ascites / Hepatic Hydrothorax
 • Variceal Bleeding
Cardiopulmonary, Renal, and
Hydrothorax • Variceal ... Bleeding Cardiopulmonary ... Portosystemic #Shunt #Hepatology ... #Gastroenterology ... #Management