53 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 ... Saad-Caldwell Classification ... #Variceal #Bleeding ... #Management #gastroenterology
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... for Peptic Ulcer Bleeding ... #Forrest #Classification ... Risks #Grading #gastroenterology ... #EGD #clinical
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... forceps biopsy (EGD ... Polypectomy - Variceal ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... of Upper GI Bleeding ... enrrikke #Forrest #Classification ... diagnosis #endoscopy #gastroenterology ... #egd
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Consult GI ± EGD ... Ulcer Disease • Variceal ... Bleeding • Mallory ... gastrointestinal #gastroenterology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Bleeding - Diagnosis ... and Management ... ligation - EGD ... Surveillance EGD ... #Management #treatment
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... EGD and the Banding ... #Tricks #management ... #gastroenterology ... fellows #endoscopy #egd
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... the stigmata of bleeding ... risks of further bleeding ... #Diagnosis #Gastroenterology ... Prevalence #Stigmata #EGD
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... Acute Esophageal Variceal ... #Bleeding #varices ... #management #ebm ... #evidence #gastroenterology
Stoma Indications, Output and Complications

Stoma Types:
 • End ileostomy
 • Loop ileostomy
 • End colostomy
 •
Stoma Types: • End ... ileostomy • End ... Infection • Bleeding ... infections • Stoma varices ... Complications #diagnosis #gastroenterology