11 results
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
Ulcers and Predicting ...  Ia  Spurting bleed ... liquid  Ib  Oozing bleed ... Classification #Endoscopy ... #EGD #Risk #Rebleeding
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
1a - Spurting Bleed ... Ib - Oozing Bleed ... - Flat Spot in ulcer ... #Grading #gastroenterology ... #EGD #clinical
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - ... Algorithm Upper GI bleed ... Consult GI ± EGD ... : • Peptic Ulcer ... Disease • Variceal Bleeding
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... risk of further bleeding ... #Diagnosis #Gastroenterology ... #Gastric #Ulcers ... Prevalence #Stigmata #EGD
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
- Flat Spot in Ulcer ... Classification #Upper #GIBleed ... UGIB #diagnosis #endoscopy ... #gastroenterology ... #egd
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal ... Bleeding - Scoping ... - Post-Banding Ulcers ... Regarding Variceal Bleed ... ScopingSundays #Esophageal
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
for Workup of GI Bleed ... (Other than EGD ... non-therapeutic, massive bleed ... may obscure bleeding ... MatthewHoMD #GI #Bleed
Acute Non-Variceal Upper GI Bleeding
Pre-Endoscopy Management:
 • Hemodynamic resuscitation
 • No routine NG tube
 • Risk
Non-Variceal Upper GI Bleeding ... liquids • If peptic ulcer ... bleeding, test ... • Rescope if bleed ... #management #gastroenterology
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
of Bleeding Esophageal ... the varix that bled ... EGD and the Banding ... Tricks #management #gastroenterology ... #egd #banding
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Treatment of Acute Esophageal ... role in acute esophageal ... variceal bleed ... from the ulcer ... ebm #evidence #gastroenterology