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 ... #Forrest #Classification ... #Risks #Grading ... gastroenterology #EGD
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Risk - Summary ... forceps biopsy (EGD ... Endoscopy #Endoscopic #Bleeding ... #EGD #LowRisk #
Upper GI Bleed - Stigmata of recent hemorrhage - Prevalence and Risk of Rebleeding.
The stigmata of
Prevalence and Risk ... of Rebleeding. ... value for the risk ... of further bleeding ... Prevalence #Stigmata #EGD
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... the stigmata of bleeding ... prevalence and risks ... of further bleeding ... Prevalence #Stigmata #EGD
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... presenting with acute lower ... gastrointestinal bleeding ... interventional radiology; OGD ... #lower #GIBleeding
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Management of Bleeding ... - If without bleeding ... banded if the lower ... EGD and the Banding ... fellows #endoscopy #egd
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... lesions (upper or lower ... infection and high risk ... Prophylaxis #Endoscopy #EGD