8 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Consult GI ± EGD ... Disease • Variceal Bleeding ... #UGIB #GIBleed ... gastrointestinal #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Classification #Upper #GIBleed ... #UGIB #diagnosis ... #endoscopy #gastroenterology ... #egd
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
esophageal variceal bleed ... Sclerotherapy • TIPS ... Early TIPS (within ... #varices #management ... ebm #evidence #gastroenterology
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... Pre-Endoscopy Management ... NonVariceal #Upper #GIBleed ... #management #gastroenterology ... #UGIB
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... Bipolar spiral tip ... mucosa Stricture Management ... Aguila @enrrikke #Gastroenterology ... #accessories #EGD
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
(Other than EGD ... double-balloon endoscopy ... may obscure bleeding ... #GIBleed #management ... #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... EGD and the Banding ... and jiggle the tip ... #gastroenterology ... #egd #banding
GI Bleed - Rapid Response Management

1) Ask for en route: Vitals, categorization, volume of blood loss,
Response Management ... 1) Ask for en ... intervention (EGD ... #GIB #Gastrointestinal ... #gastroenterology