12 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 ... #Bleeding #Management ... #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Endoscopic Variceal ... Early TIPS (within ... #Bleeding #varices ... #management #ebm ... #evidence #gastroenterology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Bleeding - Diagnosis ... and Management ... Endoscopic variceal ... #Bleeding #Diagnosis ... #endoscopy #varices
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 ... and jiggle the tip ... - Ask the nurses ... #variceal #Tips ... #gastroenterology
Transhepatic Intrajugular Portosystemic Shunt (TIPS) 
Indications:
 • Ascites / Hepatic Hydrothorax
 • Variceal Bleeding
Cardiopulmonary, Renal, and
Portosystemic Shunt (TIPS ... Hydrothorax • Variceal ... Bleeding Cardiopulmonary ... Shunt #Hepatology #Gastroenterology ... #Management
Percutaneous Endoscopic Gastrostomy (PEG) Complications and Prevention
 • Cardiopulmonary events
 • Buried bumper
 • Bleeding
 •
Percutaneous Endoscopic ... Buried bumper • Bleeding ... dislodgement • Gastric ... Complications #Management ... #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
particular esophageal varices ... is a four-lumen gastric ... and esophageal bleeding ... Upper #GIBleed #management ... #instructions #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... aspiration of both gastric ... mucosa Stricture Management ... : • ESOPHAGO-GASTRO-DUODENOSCOPE ... Aguila @enrrikke #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 ... If peptic ulcer bleeding ... #gastroenterology