Video Tip: Top 10 Tips for Obscure GI Bleeding - Part One | July 2023-Obscure GI Bleeding Part One

Video Transcription

Video Summary

Dr. Gerard Eisenberg discusses the top 10 tips for diagnosing and managing cases of obscure GI bleeding. He emphasizes the importance of a systematic and logical approach for these challenging patients due to the high healthcare costs associated with obscure GI bleeding. Tip number one is to repeat upper endoscopy and/or colonoscopy to identify potential missed lesions, as up to 45% of patients have lesions that can cause obscure GI bleeding. Dr. Eisenberg provides examples of various types of lesions and ulcers that can be missed, including Cameron's erosions, douletois lesions, portal hypertensive gastropathy, gastroenteral vascular ectasia, and stercoral ulcers. He also mentions the usefulness of cap-assisted colonoscopy and duodenoscopes in identifying and treating bleeding in the colon and duodenum. He concludes by emphasizing the importance of considering repeat endoscopy and colonoscopy when there is doubt about the previous procedures or when the clinical presentation suggests upper or lower GI bleed. For more information, viewers are encouraged to subscribe to GI Now or utilize resources on GILeap. This ASG video tip is brought to you by an educational grant from Braintree, a part of Cibela Pharmaceuticals, makers of SUTAB.

Keywords

obscure GI bleeding

missed lesions

cap-assisted colonoscopy

duodenoscopes

repeat endoscopy