23 results
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
forceps biopsy (EGD ... Polypectomy - Variceal ... #Risks #Gastroenterology ... #EGD #LowRisk # ... #Management #Guidelines
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
PRINCIPLES OF MANAGEMENT ... Care - Endoscopy ... - Post-Banding Ulcers ... Bleed Management ... #diagnosis #management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Bleeding - Diagnosis ... and Management ... Endoscopic variceal ... ligation - EGD ... #endoscopy #varices
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
should receive endoscopic ... #Diagnosis #Gastroenterology ... Rebleeding #Gastric #Ulcers ... Prevalence #Stigmata #EGD ... #Endoscopy
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... Bleed: • Peptic Ulcer ... Disease • Variceal ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Endoscopy - Management ... EGD and the Banding ... Deep ulcers form ... #gastroenterology ... #egd #banding
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
- Flat Spot in Ulcer ... III Clean-Based Ulcer ... GIBleed #UGIB #diagnosis ... #endoscopy #gastroenterology ... #egd
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... bleeding from the ulcer ... Endoscopic Variceal ... #management #ebm ... #evidence #gastroenterology
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Paracentesis, EGD ... , Prophylactic variceal ... Push enteroscopy, Diagnostic ... organ biopsy, Diagnostic ... thresholds #targets #management
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
patients with anemia, diagnose ... Bidirectional endoscopy ... change medical management ... Evaluation #workup #diagnosis ... #gastroenterology