116 results
Management of Bleeding Gastric Varices

Gastric Varices
Saad-Caldwell Classification
Endoscopic Evaluation and Management
Endovascular Management

By Chuma G. Obineme, MD @TypicallySilent
Gastric Varices ... Gastric Varices ... Classification Endoscopic Evaluation ... EmoryGastroHep #Gastric #Varices ... #Variceal #Bleeding
Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
surveillance of varices ... -2/fulltext #varices ... #Variceal #Screening ... #PrimaryCare #Algorithm
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... OF MANAGEMENT (VARICEAL-B ... Controversies Regarding Variceal ... #Esophageal #Variceal ... #Varices #Bleeding
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... Boerhaave syndrome), Variceal ... Hpylori), Gastritis, Variceal ... Hemorrhoids, Rectal varices ... #algorithm
Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening ... No varices -> ... years Small varices ... treat NSBB/EVL #Variceal ... #EGD #varices #
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Acute Esophageal Variceal ... acute esophageal variceal ... from the ulcer caused ... Endoscopic Variceal ... #Bleeding #varices
Beta-Blockers in Cirrhosis
 • Pathophysiology
 • Indications:  Prevention of decompensation, Prevention of first variceal bleeding,
Prevention of first variceal ... bleeding, Prevention ... of variceal rebleeding
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... PERI-ENDOSCOPY Endoscopic variceal ... TIPS • Pre-TIPS evaluation ... #Esophageal #Variceal ... treatment #endoscopy #varices
Evaluation Algorithm of Patients with Bleeding

#Differential #Bleeding #Superficial #Deep #Causes #Algorithm #Hematology
Evaluation Algorithm ... Patients with Bleeding ... #Differential #Bleeding ... Superficial #Deep #Causes ... #Algorithm #Hematology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Bleed - Management Algorithm ... Consult GI ± EGD Causes ... Ulcer Disease • Variceal ... Bleeding • Mallory ... Diagnosis #management #Algorithm