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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 Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... - EUS with out ... Polypectomy - Variceal ... #Endoscopic #Bleeding ... #Risks #Gastroenterology
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
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
Gastrointestinal Stromal Tumor (GIST)
Most prevalent intramural gastric tumor
Arises from interstitial cells Of (EUS layer 4)
Has higher
tumor Arises from ... interstitial cells Of (EUS ... cm can consider endoscopic ... Tumor #diagnosis #gastroenterology ... #management
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Paracentesis, EGD or colonoscopy ... , Prophylactic variceal ... bleeding, Small ... dilation or stent, EUS ... thresholds #targets #management
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
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... - EUS-FNA of ... Peritoneal dialysis & colonoscopy ... #Indications #Gastroenterology ... #Management