9 results
Endoscopic Therapy in Upper Gastrointestinal Bleeding

 • Risk Stratification
 • Red Blood Cell Transfusion
 • Pre-Endoscopic
in Upper Gastrointestinal ... Bleeding • ... Risk Stratification ... Medical Management ... #Bleeding #management
Lower GI Bleeding - Scoping Summary
 • Hematochezia
 • History and Physical
 • LGI Bleeding and
Lower GI Bleeding ... Therapy • Risk Stratification ... #Summary #Endoscopy ... hematochezia #diagnosis #management ... #algorithm
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Disease • Variceal Bleeding ... UGIB #GIBleed #Differential ... #Diagnosis #management ... #Algorithm #gastrointestinal
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Acute Non-Variceal Upper ... GI Bleeding Pre-Endoscopy ... NG tube • Risk stratification ... If peptic ulcer bleeding ... #NonVariceal #Upper
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
Algorithmic Approach to Severe Hematochezia
 - Hematochezia is due to a lower GI bleed ~85% of
Algorithmic Approach ... endoscopy to exclude ... delay appropriate management ... which involve risk stratification ... #Diagnosis #Management
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
Diagnosis Algorithm ... • Occult UGI bleeding ... , asymptomatic IBD ... Overt Bleeding ... RULE OUT BRISK Upper
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... cardiac devices (ICD ... solid lesions (upper ... Gastroenterology #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... risk (<1%): - Endoscopic ... - what is the bleeding ... undergoing AAA or upper ... medical and surgical management