9 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Classification for Peptic ... are without endoscopic ... 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 ... : • Peptic Ulcer ... Disease • Variceal Bleeding ... gastrointestinal #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Esophageal Variceal Bleeding ... esophageal variceal bleed ... increased risk of hepatic ... #varices #management ... ebm #evidence #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Pre-Endoscopy Management ... liquids • If peptic ... ulcer bleeding, ... • Rescope if bleed ... #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI Bleed ... (Other than EGD ... may obscure bleeding ... #GIBleed #management ... #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... the varix that bled ... EGD and the Banding ... #gastroenterology ... #egd #banding
Clear Cap Tamponade of Bleeding on Endoscopy
Clear Cap Crowd Control : stop active bleeding using tamponade
Cap Tamponade of Bleeding ... on Endoscopy Clear ... torrential focal bleed ... #Endoscopy #clinical ... #EGD #gastroenterology
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Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... risk (<1%): - Endoscopic ... - what is the bleeding ... risk Chest X-ray ... medical and surgical management
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
Chagas disease) Clinical ... secondary causes leading ... Three clinical features ... Achalasia #diagnosis #management ... #treatment #gastroenterology