9 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Upper GI bleed ... Ulcer Disease • Variceal ... Bleeding • Mallory ... gastrointestinal #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
bleed (given empirically ... Endoscopic Variceal ... #Bleeding #varices ... #management #ebm ... #evidence #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 ... • Rescope if bleed ... #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... the varix that bled ... - Ask the nurses ... #Tricks #management ... #gastroenterology
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
Tubes for Upper GI ... Bleeds Minnesota ... particular esophageal varices ... and esophageal bleeding ... Upper #GIBleed #management
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... Bleed (Other than ... may obscure bleeding ... MatthewHoMD #GI ... #management #gastroenterology
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... mucosa Stricture Management ... sections of the GI ... EUS procedures GI ... Aguila @enrrikke #Gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Antibiotic Prophylaxis ... for Endoscopy ( ... bleeding - EUS-FNA ... #Indications #Gastroenterology ... #Management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
• Active upper GI ... bleed: use IV CTX ... Any etiology (variceal ... SBP #diagnosis #management ... #prophylaxis #treatment