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Jan 25 2017

Acute Esophageal Variceal Bleed

Morning Report

esophageal_varices_by_ink95-d9f81u1

Thank you Dr. Kirollos Zaki for an excellent presentation on UGIB from esophageal varices

Teaching Points

  • Management of GI bleed
    • fluids, goal hg>7, plt >50, INR<1.5.
    • protonix drip if UGIB, add octreotide drip if concern for variceal bleed
  • Endoscopy
    • variceal ligation: using banding, goal is within 12 hours
    • sclerotherapy: usueally epi is used, similar results as ligation but high rebleeding risk
  • TIPS
    • Indications: active hemorrhage despite endoscopic treatment or recurrent bleed
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Gastroenterology Clinic

  • Chief Residents

Gastroenterology clinic takes place every other Monday morning starting at 8:00 am in Clinic C.

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Gastroenterology Consult

  • Chief Residents

Rotations on the Gastroenterology Consult service are usually 1-2 weeks in length and spread out across residency training. Supervision on the service is provided by the Gastroenterology faculty with assistance from the UCLA GI fellow(s). The inpatient component, which comprises…

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