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 ... #Bleeding #Management ... #gastroenterology
Endoscopic Therapy in Upper Gastrointestinal Bleeding

 • Risk Stratification
 • Red Blood Cell Transfusion
 • Pre-Endoscopic
Gastrointestinal Bleeding ... Medical Management ... #UGIB #Upper #Gastrointestinal ... #Bleeding #management ... #gastroenterology
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Polypectomy - Variceal ... #Endoscopic #Bleeding ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
particular esophageal varices ... and esophageal bleeding ... Minnesota #Tubes #UGIB ... Upper #GIBleed #management ... #instructions #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... Endoscopic Variceal ... #Bleeding #varices ... #management #ebm ... #evidence #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Ulcer Disease • Variceal ... Bleeding • Mallory ... Upper #GI #Bleed #UGIB ... gastrointestinal #gastroenterology
Percutaneous Endoscopic Gastrostomy (PEG) Complications and Prevention
 • Cardiopulmonary events
 • Buried bumper
 • Bleeding
 •
Percutaneous Endoscopic ... Buried bumper • Bleeding ... dislodgement • Gastric ... Complications #Management ... #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... - Ask the nurses ... #Tricks #management ... #gastroenterology ... #fellows #endoscopy
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 ... #gastroenterology ... #UGIB
Gastrointestinal Stromal Tumor (GIST)
Most prevalent intramural gastric tumor
Arises from interstitial cells Of (EUS layer 4)
Has higher
prevalent intramural gastric ... tumor Arises from ... cm can consider endoscopic ... Tumor #diagnosis #gastroenterology ... #management