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 ... are without endoscopic ... Bleed - 50% Re-bleeding ... #Forrest #Classification
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... - Diagnostic endoscopy ... ) - Capsule endoscopy ... #Endoscopic #Bleeding ... HighRisk #Diagnosis #Management
Classification of the stigmata of bleeding ulcers, including prevalence and risks of further bleeding; 

A, clean
Classification of ... the stigmata of bleeding ... risks of further bleeding ... vessel; E, active bleeding ... Stigmata #EGD #Endoscopy
Bleeding Dieulafoy's Lesion within the duodenum - Resolved with Clip

Carlos Zavaleta MD FACS @CMZavaletaMD

#Dieulafoys #Lesion #GIBleed
Bleeding Dieulafoy's ... Lesion within the duodenum ... Lesion #GIBleed #duodenum ... Clipping #EGD #Endoscopy
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Management algorithm for patients presenting with acute lower gastrointestinal bleeding. 

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

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Cirrhosis & GI bleeding ... #Prophylaxis #Endoscopy ... Gastroenterology #Management