ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy

Video Transcription

Video Summary

In this video, Dr. Barkun addresses questions related to clearance options when erythromycin is unavailable and managing rebleeding in patients with standard clips. He suggests that metoclopramide can be tried as an alternative to erythromycin, but the data is limited. If rebleeding occurs, a second look procedure may be necessary to identify the source of bleeding. The use of an NG tube is not recommended in cases with significant clotting. Multiple hemoclips can pose challenges, and Dr. Barkun advises against using more than three clips and suggests considering alternative approaches like thermal methods or over-the-scope clips. However, caution should be exercised with over-the-scope clips as their efficacy and use can be complicated. The video concludes by acknowledging valuable audience questions.

Keywords

erythromycin

metoclopramide

rebleeding

hemoclips

over-the-scope clips