First Year Fellows Endoscopy Course (August 2-3)

8-Upper GI Bleeding_2024

Pdf Summary

The ASGE First Year Fellows Endoscopy Course on Upper GI Bleeding provides insights into the management of upper GI bleeding, which is a significant medical issue with high mortality rates. Endoscopic therapy plays a crucial role in treating bleeding episodes, especially in cases of re-bleeding. Initial assessment, risk stratification, and timely endoscopy are vital in managing patients effectively. Various factors such as bleeding volumes, etiologies, and endoscopic findings guide treatment decisions. Strategies for acid suppression pre and post-endoscopy are discussed, emphasizing the importance of appropriate timing and dosing. The document covers topics like warfarin reversal, therapeutic techniques, recommendations for different endoscopic stigmata, and prophylactic measures like endotracheal intubation. Case studies illustrate real-world scenarios and decision-making processes for managing upper GI bleeding. The text outlines multiple therapeutic options, including injections, thermal therapies, hemoclips, and combination treatments. Proper visualization techniques, clot removal tips, and post-endoscopy care protocols are also highlighted. Overall, the course emphasizes the importance of comprehensive assessment, timely interventions, and effective endoscopic techniques in the successful management of upper GI bleeding cases.

Keywords

Upper GI Bleeding

Endoscopic Therapy

Risk Stratification

Bleeding Volumes

Etiologies

Acid Suppression

Warfarin Reversal

Therapeutic Techniques

Hemoclips

Post-Endoscopy Care