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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Forrest Classification for Peptic Ulcer Bleeding
Rebleeding risks are without endoscopic intervention
1a - Spurting Bleed - 60-100%
Forrest Classification ... Rebleeding risks ... Bleed - 50% Re-bleeding ... #Forrest #Classification ... #Risks #Grading
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... presenting with acute lower ... gastrointestinal bleeding ... #Management #algorithm ... #lower #GIBleeding
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
of Bleeding Esophageal ... anticipate active bleeding ... - If without bleeding ... banded if the lower ... is not actively bleeding
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... lesions (upper or lower ... Gastroenterology #Management