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 ... for Peptic Ulcer Bleeding ... IIa - Non-Bleeding ... #Forrest #Classification ... Peptic #Ulcer #Bleeding
Sarin's Classification of Gastric Varices
 - Gastroesophageal Varices (GOVs)
 - Isolated Gastric Varices (IGVs)

Dr. Katarzyna Monika
Sarin's Classification ... of Gastric Varices ... Gastroesophageal Varices ... KM_Pawlak #Sarins #Classification ... #Gastric #Varices
EUS assessment of Gastric Varices - Soderlund Classification

Dr. Katarzyna Monika Pawlak @KM_Pawlak

#Soderlund #Classification #EUS #Gastric #Varices
assessment of Gastric Varices ... - Soderlund Classification ... #Soderlund #Classification ... #EUS #Gastric #Varices
Screening and surveillance of varices in patients with cirrhosis. 

- No for screening need if platelets
surveillance of varices ... -2/fulltext #varices ... #Variceal #Screening
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Management of Bleeding ... Esophageal Varices ... anticipate active bleeding ... - If without bleeding ... is not actively bleeding
Cirrhosis Timeline and Mortality Rate
Compensated Cirrhosis
Stage 1 - No varices (Annual Mortality Rate 1%)
Stage 2 -
Stage 1 - No varices ... 1%) Stage 2 - Varices ... Stage 4 - Gl bleeding
Causes of Small Bowel Bleeding - Differential Diagnosis
Common Causes:
 • Under age 40 years: Inflammatory Bowel
of Small Bowel Bleeding ... purpura, Small bowel varices ... #SmallBowel #Bleeding
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Polypectomy - Variceal ... Endoscopy #Endoscopic #Bleeding
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk of Rebleeding ... risk of further bleeding ... Gastroenterology #UpperGI #Rebleeding
Variceal Screening Algorithm in Cirrhosis
No varices -> repeat 2-3 years 
Small varices->repeat 1-2 years unless child
Variceal Screening ... Cirrhosis No varices ... years Small varices ... treat NSBB/EVL #Variceal ... Algorithm #EGD #varices