8 results
Endoscopic Therapy in Upper Gastrointestinal Bleeding

 • Risk Stratification
 • Red Blood Cell Transfusion
 • Pre-Endoscopic
Bleeding • ... Risk Stratification ... Medical Management ... #UGIB #Upper #Gastrointestinal ... #Bleeding #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 ... #GI #Bleed #UGIB
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 ... • Rescope if bleed ... gastroenterology #UGIB
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... Suspected lower GI bleeding ... Unstable (Rule out upper ... #management #Algorithm
Algorithmic Approach to Severe Hematochezia
 - Hematochezia is due to a lower GI bleed ~85% of
endoscopy to exclude ... upper GI bleed. ... 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
bowel) • Occult UGI ... bleeding (ulcer ... , asymptomatic IBD ... Overt Bleeding ... RULE OUT BRISK 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
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