16 results
Functional GI Disorders in IBD - IBD Algorithm

Background:
 • 25-40% of IBD in remission have IBS
Functional GI Disorders ... in IBD - IBD Algorithm ... #IBDAlgorithm # ... IBD #Algorithm # ... gastroenterology #management
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Management Algorithm ... Upper GI bleed ... Disease • Variceal Bleeding ... #Algorithm #gastrointestinal
Lower GI Bleeding - Scoping Summary
 • Hematochezia
 • History and Physical
 • LGI Bleeding and
Lower GI Bleeding ... Stratification in GI ... #Summary #Endoscopy ... hematochezia #diagnosis #management ... #algorithm
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Classification of Upper ... GI Bleeding Acute ... Risk 60-100% Ib ... Classification #Upper ... UGIB #diagnosis #endoscopy
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Management Algorithm ... bleeding (LGIB) ... Unstable (Rule out upper ... GI bleed) vs Stable ... LGIB #GIBleed #management
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... Management: • ... If peptic ulcer bleeding ... #NonVariceal #Upper
Algorithmic Approach to Severe Hematochezia
 - Hematochezia is due to a lower GI bleed ~85% of
Algorithmic Approach ... endoscopy to exclude ... upper GI bleed. ... delay appropriate management ... #Diagnosis #Management
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI ... bleed may obscure bleeding ... MatthewHoMD #GI ... Bleed #GIBleed #management ... gastroenterology #table
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... Infusion = 40mg IV BID ... NonVariceal #UpperGI #Bleeding ... #diagnosis #management ... #algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
- Cirrhosis & GI ... bleeding - EUS-FNA ... cardiac devices (ICD ... solid lesions (upper ... Gastroenterology #Management