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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Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
Brisk Gastric Bleeding ... Acute bleeding in ... RodriguezParra_ #active ... #Gastric #Bleeding ... Upper #Endoscopy #EGD
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... visible vessel; E, active ... bleeding. ... #Gastric #Ulcers ... Prevalence #Stigmata #EGD
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
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 ... #Gastric #Ulcers ... Prevalence #Stigmata #EGD
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
but anticipate active ... EGD and the Banding ... - If with an actively ... patient is not actively ... fellows #endoscopy #egd
Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

Shock index (SI) is calculated by
Management algorithm ... gastrointestinal bleeding ... interventional radiology; OGD ... #Management #algorithm ... #lower #GIBleeding
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Cirrhosis & GI bleeding ... the setting of active ... Prophylaxis #Endoscopy #EGD