ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-ASGE Endo Hangout: Acute Management of GI Bleeding

Video Transcription

Video Summary

The video features a panel discussion on the acute management of gastrointestinal (GI) bleeding. The panelists, Dr. Jamie Bering and Dr. Khushboo Ghala, discuss various strategies and techniques for effectively controlling bleeding. Dr. Alon Khan acts as the moderator, specializing in esophageal disorders. Dr. Nina Abraham and Dr. Andy Tao are the panelists for the session. Dr. Tao shares practical tips such as maximizing suction during endoscopy and using the Clot Buster scope for effective suction and clot clearance. He also highlights the importance of the Clear Cap device for maintaining a clear field during endoscopy and providing temporary tamponade. Dr. Tao mentions different types of clips for hemostasis, including the ConMed DuraClip, Boston Scientific Resolution 360, and Instinct Cook Clip. Placing two clips at different angles is recommended for effective hemostasis. The role of prokinetics, specifically erythromycin, in clearing large blood clots in the stomach is also addressed. Dr. Abraham adds that intubating the patient can aid in better control of the airway and facilitate more aggressive interventions. The video provides practical insights, techniques, and device recommendations for managing GI bleeding, with a focus on maximizing suction, using the Clear Cap, and selecting appropriate clips for effective hemostasis.<br /><br />The video is a panel discussion on managing gastrointestinal bleeding. The panelists, Dr. Neil Abraham and Dr. William Tao, provide insights on techniques and devices for controlling bleeding. They emphasize the importance of proper technique, such as using bipolar probes and clear caps for effective hemostasis. The use of devices like DuraClip, ResolutionClip, and Cook InstinctClip are discussed. The panelists also mention through-the-scope stents for refractory esophageal bleeding and planning for further interventions like BRTO. The discussion provides practical insights and recommendations for managing GI bleeding effectively.

Keywords

acute management

gastrointestinal bleeding

panel discussion

endoscopy techniques

Clear Cap device

hemostasis clips

prokinetics

intubation

maximizing suction

bipolar probes

through-the-scope stents

practical insights