19 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... Causes of Upper ... Ulcer Disease • Variceal ... Bleeding • Mallory ... #Differential #Diagnosis
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... and Management ... #Variceal #Bleeding ... #Diagnosis #Management
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Variceal Bleeding ... variceal bleed ... from the ulcer caused ... #Bleeding #varices ... #management #ebm
Lower GI Bleed - Differential Diagnosis Framework
Structural:
 - Diverticulosis
 - Post-Polypectomy Bleeding
 - Hemorrhoids
 - Polyps
Lower GI Bleed - ... Post-Polypectomy Bleeding ... Colonic or rectal varices ... Ischemic Colitis - IBD ... #gastroenterology
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... Bleeding - Scoping ... Bleed Management ... ScopingSundays #Esophageal ... #Endoscopy #diagnosis
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... forceps biopsy (EGD ... Polypectomy - Variceal ... #Risks #Gastroenterology ... #Management #Guidelines
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Tubes for Upper GI Bleeds ... varices) when interventional ... bleeding as well ... Upper #GIBleed #management ... #instructions #gastroenterology
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Gastronintestinal Bleed ... - Exclude bleeding ... 15%): • Gastro-esophageal ... varices Other: ... #Algorithm #Causes
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... of Bleeding Esophageal ... the varix that bled ... #Esophageal #Varices ... #gastroenterology
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
and Management ... may be herald bleed ... • Primary AEF: arises ... may undergo EGD ... Sensitivity of EGD