13 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
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
Management Algorithm ... Ulcer Disease • Variceal ... Bleeding • Mallory ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal ... Upper GI Bleeding ... Pre-Endoscopy Management ... #NonVariceal #Upper ... #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Minnesota Tubes for Upper ... particular esophageal varices ... and esophageal bleeding ... #GIBleed #management ... #instructions #gastroenterology
Transhepatic Intrajugular Portosystemic Shunt (TIPS) 
Indications:
 • Ascites / Hepatic Hydrothorax
 • Variceal Bleeding
Cardiopulmonary, Renal, and
Hydrothorax • Variceal ... Bleeding Cardiopulmonary ... Portosystemic #Shunt #Hepatology ... #Gastroenterology ... #Management