10 results
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
are without endoscopic ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... Risks #Grading #gastroenterology ... #EGD #clinical
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
products E - Endoscopy ... settings - Pre-endoscopic ... Care - Endoscopy ... Regarding Variceal Bleed ... #Summary #Endoscopy
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
PMID: 11870374) - Endoscopic ... ulcer caused by endoscopic ... =0.53 • Endoscopic ... Endoscopic Variceal ... #varices #management
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Pre-Endoscopy Management ... • 'Early endoscopy ... 24 hours Post-Endoscopy ... embolization if endoscopy ... #management #gastroenterology
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
Colonoscopy) Pill endoscopy ... double-balloon endoscopy ... intraoperative endoscopy ... double-balloon endoscopy ... #GIBleed #management
Clear Cap Tamponade of Bleeding on Endoscopy
Clear Cap Crowd Control : stop active bleeding using tamponade
Cap Tamponade of Bleeding ... on Endoscopy Clear ... torrential focal bleed ... #Endoscopy #clinical ... #EGD #gastroenterology
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Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... banded if the lower ... - Ask the nurses ... #gastroenterology ... #fellows #endoscopy
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... lesions (upper or lower ... #Prophylaxis #Endoscopy ... #Management
Achalasia Summary

Epidemiology: 10 cases per 100,000 individuals

Defined by inadequate relaxation of the LES and aperistalsis
Primary or
evaluated with CT, endoscopy ... , or endoscopic ... myotomy, or peroral endoscopic ... Achalasia #diagnosis #management ... #treatment #gastroenterology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... Change in clinical ... risk (<1%): - Endoscopic ... - what is the bleeding ... medical and surgical management