First Year Fellows Endoscopy Course (July 26-27)

8-Upper GI Bleeding_2024

Pdf Summary

The ASGE First Year Fellows Endoscopy Course focuses on managing upper GI bleeding, a severe medical issue with high mortality rates and frequent hospital admissions. The mainstay of treatment is endoscopic therapy, with specific hemostatic techniques utilized based on endoscopic findings. Key aspects include initial assessment, risk stratification, and early endoscopy within 24 hours to optimize outcomes. Medications like PPIs are crucial pre- and post-EGD for high-risk lesions. Strategies like acid suppression, endotracheal intubation in specific cases, and clot removal techniques are highlighted.<br /><br />Furthermore, the document covers important considerations such as warfarin reversal protocols, therapeutic scopes, management of suspected variceal bleeding, and the use of various endoscopic therapies like injections, hemoclips, and OTSC. Specific recommendations for different types of endoscopic stigmata are provided to guide treatment decisions. Variceal banding, repeat endoscopy for rebleeding, and optimizing endoscopic visualization are discussed for effective and durable outcomes.<br /><br />Overall, the course emphasizes a comprehensive approach involving prompt assessment, risk stratification, medication management, and appropriate use of endoscopic techniques to address upper GI bleeding effectively. Endoscopic therapy tailored to specific stigmata ensures optimal outcomes, highlighting the importance of timely intervention and individualized treatment strategies in managing this critical condition.

Keywords

ASGE First Year Fellows Endoscopy Course

upper GI bleeding

endoscopic therapy

hemostatic techniques

PPIs

acid suppression

endotracheal intubation

clot removal techniques

warfarin reversal protocols

variceal banding