26 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... enteroscopy - ERCP ... Polypectomy - Variceal ... resection - ERCP ... #Endoscopic #Bleeding
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
Forrest Classification ... for Describing Endoscopic ...  Ia  Spurting bleed ... liquid  Ib  Oozing bleed ... #Endoscopy #EGD
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping ... - Refractory Bleeding ... Bleed Management ... #Varices #Bleeding ... diagnosis #management #algorithm
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
bleed (given empirically ... until endoscopy ... from the ulcer caused ... Endoscopic Variceal ... #Bleeding #varices
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... are without endoscopic ... 1a - Spurting Bleed ... Ib - Oozing Bleed ... #Forrest #Classification
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Consult GI ± EGD Causes ... Ulcer Disease • Variceal ... Bleeding • Mallory ... Diagnosis #management #Algorithm
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... unclear source (in case ... Endoscopic variceal ... #Bleeding #Diagnosis
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... of GI Bleed Upper ... Boerhaave syndrome), Variceal ... differential #diagnosis #Causes ... #algorithm
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 ... Endoscopic Evaluation ... #Variceal #Bleeding
Upper Gastronintestinal Bleed - Differential Diagnosis Algorithm
Acute Hematemesis/Melena
 - Blood in vomitus?/black, tarry stools
 - If
Gastronintestinal Bleed ... Differential Diagnosis Algorithm ... - Exclude bleeding ... Gastro-esophageal varices ... #Causes