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Mar 09 2017

STOPAH TRIAL

EBM, Journal Club

Thank you Quynh Vu for your excellent overview of the STOPAH trial (Prednisolone or Pentoxifylline for Alcoholic Hepatitis) Conclusions of the study: Pentoxifylline did not improve survival in patients with alcoholic hepatitis Prednisolone was associated with a reduction in 28-day…

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Jan 25 2017

Acute Esophageal Variceal Bleed

Morning Report

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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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