11 results
Endoscopic Therapy in Upper Gastrointestinal Bleeding

 • Risk Stratification
 • Red Blood Cell Transfusion
 • Pre-Endoscopic
Gastrointestinal Bleeding ... • Risk Stratification ... Medical Management ... #UGIB #Upper #Gastrointestinal ... #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
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Active Spurting, Re-bleeding ... Risk 60-100% Ib ... Upper #GIBleed #UGIB ... #diagnosis #endoscopy ... gastroenterology #egd
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 ... Consult GI ± EGD ... Disease • Variceal Bleeding ... Upper #GI #Bleed #UGIB
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... Diagnosis and Management ... ligation - EGD ... Surveillance EGD ... #Diagnosis #Management
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... Infusion = 40mg IV BID ... • Start with EGD ... #diagnosis #management ... #algorithm
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... Pre-Endoscopy Management ... NG tube • Risk stratification ... If peptic ulcer bleeding ... gastroenterology #UGIB
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... gastrointestinal bleeding ... interventional radiology; OGD ... OP, outpatient; UGI ... #Management #algorithm
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... cardiac devices (ICD ... #EGD #Indications ... 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 ... medical and surgical management ... Risk #Evaluation #stratification