Acute Non-Variceal Upper GI Bleeding Pre-Endoscopy Management: • Hemodynamic resuscitation • No routine NG tube • Risk stratification using the Glasgow Blatchford scale • Pre-endoscopy IV PPI? • Restrictive blood transfusion policy • Anti-thrombotic management — anti-platelet agents, anti-coagulants • Promotility agents - IV erythromycin ? • 'Early endoscopy' within 24 hours Post-Endoscopy Management: • High dose IV PPI x 72 hours • Initiate clear liquids • If peptic ulcer bleeding, test and treat H. Pylori • Anti-thrombotic management • Rescope if bleed with/without hemostasis • Transcatheter angiographic embolization if endoscopy fails • Surgery rarely needed today Dr. Enrik Aguila @enrrikke #NonVariceal #Upper #GIBleed #management #gastroenterology #UGIB
