8 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... forceps biopsy (EGD ... #Endoscopic #Bleeding ... #EGD #LowRisk # ... HighRisk #Diagnosis #Management
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
for Describing Endoscopic ... and Predicting Risk ... Clear liquid  Ib ... #Endoscopy #EGD ... #Risk #Rebleeding
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... Rebleeding risks ... are without endoscopic ... Ib - Oozing Bleed ... gastroenterology #EGD
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Forrest Classification ... Ib - Active Oozing ... , Re-bleeding Risk ... UGIB #diagnosis #endoscopy ... gastroenterology #egd
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Paracentesis, EGD ... Prophylactic variceal bleeding ... balloon enteroscopy, ERCP ... tumor ablation, ERCP ... thresholds #targets #management
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... sens. >12 inc. risk ... Infusion = 40mg IV BID ... #diagnosis #management ... #algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... cardiac devices (ICD ... infection and high risk ... #EGD #Indications ... Gastroenterology #Management
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
ducts, commonly leading ... are at increased risk ... judicious use of ERCP ... liver disease management ... Cholangitis #diagnosis #management