First Year Fellows Endoscopy Course ( August 6-7) | 2023-7-29-2023 FYF Presentation 7

Video Transcription

Video Summary

The video discusses upper gastrointestinal (GI) bleeding and its management. The speaker begins by congratulating the viewers and welcoming them to the GI community. They emphasize that upper GI bleeding is an exciting topic and discuss the importance of guidelines for the management of this condition. The speaker recommends using high-level recommendations from national society guidelines, such as those from the ASGE and ACG, to guide patient care. They then delve into the assessment and initial management of upper GI bleeding, including taking a thorough history, identifying potential etiologies, and assessing risks for re-bleeding and mortality. The speaker discusses the use of antithrombotics, the presenting signs of upper GI bleeding, and the need for resuscitation. They also explain the Forest classification system for determining the severity of ulcer bleeding and the appropriate endoscopic therapy. Various endoscopic treatment options are described, including injection, thermal therapies, mechanical therapies, and combination therapy. The speaker also briefly mentions other therapies, such as hemostatic powders and Doppler probe-guided therapy. The video concludes with a discussion on re-bleeding and the need for repeat endoscopy or additional interventions if necessary.

Asset Subtitle

Nikhil Kumta

Keywords

upper gastrointestinal bleeding

management

guidelines

assessment

endoscopic therapy

re-bleeding

resuscitation