Dr. Michael Chew @mchew85
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GrepMed Gastroenterology-Hepatology Editor, Academic Hospitalist UC Davis Medical Center Internal Medicine, Yale Gastroenterology Fellow '22
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Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Upper GI Bleed - ... Stigmata of recent ... The stigmata of ... Gastroenterology #UpperGI ... #EGD #Endoscopy
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... the stigmata of ... Gastroenterology #UpperGI ... Ulcers #Prevalence #Stigmata ... #EGD #Endoscopy
Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... for Peptic Ulcer Bleeding ... IIa - Non-Bleeding ... #Forrest #Classification ... gastroenterology #EGD
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... on Upper Endoscopy ... Acute bleeding in ... #Upper #Endoscopy ... #EGD #gastroenterology
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Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening Algorithm ... unless child C or stigmata ... Variceal #Screening #Algorithm ... #EGD #varices #
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... gastrointestinal bleeding ... interventional radiology; OGD ... outpatient; UGI, upper ... #Management #algorithm
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Management of Bleeding ... - If without bleeding ... in the mid or upper ... EGD and the Banding ... fellows #endoscopy #egd
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... solid lesions (upper ... Prophylaxis #Endoscopy #EGD