15 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
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Polypectomy - Variceal ... #Risks #Gastroenterology ... #EGD #LowRisk # ... HighRisk #Diagnosis #Management
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
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
Mnemonic - Cirrhosis Management ... PPI, octreotide, EGD ... - Ppx (non-bleeding ... RUQUS + AFP (q6m), EGD ... Diagnosis #Hepatology #Gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... Bleeding • Octreotide ... #Bleeding #varices ... #management #ebm ... #evidence #gastroenterology
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
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Shock Classification ... gastrointestinal bleeding ... water #Shock #Classification ... Types #diagnosis #management ... warm #wet #dry #table
Preventing Decompensation in Cirrhosis 

cACLD, CSPH, and the Rule of Five
Prevention of Decompensation
Nonselective Beta Blockers (NSBB)
Preventing
Preventing recurrent variceal ... Preventing recurrent bleeding ... Cirrhosis #Prevention #treatment ... #management #hepatology ... #gastroenterology
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
ED Treatment of ... Abnormal Uterine Bleeding ... Hemodynamically stable ... Abnormal #Uterine #Bleeding ... #Management #Obstetrics