13 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 ... Gastric Varices ... #Variceal #Bleeding ... #Management #gastroenterology
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... Acute Esophageal Variceal ... Endoscopic Variceal ... #Bleeding #varices ... #management #ebm
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... PERI-ENDOSCOPY Endoscopic variceal ... #Esophageal #Variceal ... #Management #treatment ... #endoscopy #varices
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Varices What ... that specific variceal ... - Varices in ... #Esophageal #Varices ... #variceal #Tips
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Ulcer Disease • Variceal ... Bleeding • Mallory ... Differential #Diagnosis #management ... gastrointestinal #gastroenterology
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
• Ascites • Variceal ... Bleeding • Hepatic ... Cirrhosis #diagnosis #treatment ... #management
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Polypectomy - Variceal ... Endoscopy #Endoscopic #Bleeding ... #Risks #Gastroenterology ... HighRisk #Diagnosis #Management
Minnesota Tubes for Upper GI Bleeds
Minnesota tubes (MT) are typically placed in intubated patients with life-threatening
particular esophageal varices ... and esophageal bleeding ... Upper #GIBleed #management ... #instructions #gastroenterology
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
Transhepatic Intrajugular Portosystemic Shunt (TIPS) 
Indications:
 • Ascites / Hepatic Hydrothorax
 • Variceal Bleeding
Cardiopulmonary, Renal, and
Hydrothorax • Variceal ... Bleeding Cardiopulmonary ... Shunt #Hepatology #Gastroenterology ... #Management