ASGE ENDO Hangout for GI Fellows: Approach to Nonvariceal Upper GI Bleeding and Hemostasis | October 2023-Endo Hangout: Approach to Nonvariceal Upper GI Bleeding

Video Transcription

Video Summary

The ASGE Endo Hangouts for GI Fellows webinar series features expert physicians discussing various topics. In the webinar titled "Approach to Non-Variceal Upper GI Bleeding and Hemostasis," Dr. Lauren Lane, a professor of medicine and chief of the section of digestive diseases at the Yale School of Medicine, presents the content. The panelists for the session are Dr. Michelle Hughes and Dr. Kenneth Hung, both gastroenterology specialists. The presentation focuses on the timing of endoscopy for patients with upper GI bleeding, management of bleeding ulcers using endoscopic therapy, and non-ulcer, non-variceal upper GI bleeding. Various techniques and modalities for endoscopic therapy are discussed, including injection therapy, bipolar and heater probe, clips, and topical hemostatic therapies. Newer modalities like over-the-scope clips and topical hemostatic therapies show promise but need further study. The management of Malloy-Weiss tears and upper GI tumors is also discussed. The webinar provides insights into the management of non-variceal upper GI bleeding using endoscopic techniques.<br /><br />In addition to the webinar, the presentation covers different aspects of gastrointestinal bleeding and its treatment. Hemostasis is emphasized, but definitive therapy is necessary to prevent further bleeding. Treatment options include endoscopic therapy, hemostatic powder spray, thermal therapy, and clip placement. Reversal agents for anticoagulation are recommended only in life-threatening situations. Case presentations offer practical insights, recommending techniques like suction for better visualization and the use of over-the-scope clips for large ulcers. The presentation emphasizes the importance of individualized treatment plans based on patient characteristics and the specific clinical situation.

Meta Tag

Faculty Loren Laine

Keywords

ASGE Endo Hangouts

GI Fellows

Approach to Non-Variceal Upper GI Bleeding and Hemostasis

endoscopic therapy

non-ulcer

non-variceal upper GI bleeding

over-the-scope clips

gastrointestinal bleeding

hemostasis

individualized treatment plans

Dr. Loren Laine