Gastrointestinal Bleeding Symposium

[{"id":"278","chapterid":"7178","timeTo":"177.99","timeFrom":"146","number":"1","chaptername":"Snake Skin aspect","description":null},{"id":"278","chapterid":"751","timeTo":"59.973 ","timeFrom":"0 ","number":"1","chaptername":"Introduction ","description":"This chapter provides an introduction to a gastrointestinal bleeding symposium featuring live cases and lectures. Dr. Anderson and Professor Lo Baton will guide the session, beginning with Dr. David Tate demonstrating how to approach patients with suspected upper GI bleeding."},{"id":"278","chapterid":"7179","timeTo":"229.99","timeFrom":"178","number":"2","chaptername":"Oesophageal Varices","description":null},{"id":"278","chapterid":"961","timeTo":"189.315 ","timeFrom":"59.974 ","number":"2","chaptername":"Live Session approach to upper GI bleeding ","description":"This chapter discusses the endoscopic assessment of a 44-year-old female with decompensated liver cirrhosis and a history of recurrent melena. The discussion includes the identification of portal hypertension signs, notably the striped mucosa and snake skin appearance, as well as the examination of the esophagus for varices and other lesions."},{"id":"278","chapterid":"7180","timeTo":"527.99","timeFrom":"230","number":"3","chaptername":"Gastric Varix","description":null},{"id":"278","chapterid":"962","timeTo":"201.57 ","timeFrom":"189.316 ","number":"3","chaptername":"Inspection of the esophagus ","description":"In this chapter, the presence and behavior of oesophageal varices are examined. It is noted that the varices are flattening almost completely upon inflation, indicating a possible decrease in variceal tension or prominence. This assessment is critical in determining the appropriate intervention and monitoring strategy."},{"id":"278","chapterid":"7181","timeTo":null,"timeFrom":"528","number":"4","chaptername":"Injection of Histoacryl glue","description":null},{"id":"278","chapterid":"963","timeTo":"367.742 ","timeFrom":"201.571 ","number":"4","chaptername":"Fundic varix ","description":"In this chapter, the focus is on a patient with repeated bleeding where imaging failed to determine the source. The discussion centers around a suspected gastric varix identified during endoscopy. Various treatment options, including local varix treatments and the role of TIPSS, were considered. The importance of portal hypertension management and the patient's liver function in deciding the treatment approach is emphasized."},{"id":"278","chapterid":"964","timeTo":"458.461 ","timeFrom":"367.743 ","number":"5","chaptername":"Nurse explanation of the use of HistoAcryl ","description":"This chapter details the procedural steps and considerations for injecting Histoacryl glue to treat gastric varices. It discusses preparation of the needle, pre-flushing with lipid, and the importance of timing to prevent hardening of the glue, which could damage the endoscope. Emphasis is placed on the coordination between team members during the injection process."},{"id":"278","chapterid":"965","timeTo":"767.949 ","timeFrom":"458.462 ","number":"6","chaptername":"Histoacryl glue injection of a gastric varix ","description":"This chapter demonstrates the step-by-step procedure for injecting histoacryl glue into gastric varices using a stable scope position. Emphasis is placed on the importance of team communication, needle handling, flushing techniques, and careful removal to avoid complications. The chapter concludes with tips for ensuring complete injection and safe withdrawal of the needle."},{"id":"278","chapterid":"966","timeTo":"962.957 ","timeFrom":"767.949999","number":"7","chaptername":"Discussion of the live case ","description":"In this chapter, the discussion revolves around the technique and decision-making process of using endoscopic ultrasonography for variceal bleeding treatment. Repeating procedures, endoscopic views, and the importance of complete treatment are emphasized. The dialogue highlights the challenges and considerations in managing large varices and the practical implications of training and communication during these procedures."},{"id":"278","chapterid":"967","timeTo":"1614.956 ","timeFrom":"962.958 ","number":"8","chaptername":"Presentation on Non-Variceal Upper GI bleeding by Lobke Desomer ","description":"The chapter by Dr. Loka Som discusses the comprehensive management of non-variceal upper GI bleeding based on the 2015 ESG guideline. Key points include assessing hemodynamic stability, the importance of a restrictive transfusion strategy, hemostatic techniques, and the Forest classification. Early endoscopy and post-procedure PPI use are also emphasized."},{"id":"278","chapterid":"968","timeTo":"1765.39 ","timeFrom":"1614.95699","number":"9","chaptername":"Discussion ","description":"This chapter discusses the handling of clots in gastrointestinal bleeding situations. It emphasizes the importance of clot removal for precise treatment but recommends waiting up to 12 hours in stable patients to optimize conditions. Delaying immediate intervention can reduce rebleeding risks and improve outcomes."},{"id":"278","chapterid":"969","timeTo":"2385.156 ","timeFrom":"1765.391 ","number":"10","chaptername":"Presentation on Approach to Variceal upper GI bleeding by Hans Van Vlierberghe ","description":"This chapter discusses the management of variceal upper GI bleeding, stressing the need for a multi-faceted approach involving intensive care, vasoactive drugs, and antibiotic prophylaxis. It covers the importance of timely endoscopy, the use of band ligation, and non-endoscopic treatments such as TIPS and beta-blockers. Evidence-based quality parameters are reviewed, emphasizing the holistic treatment of portal hypertension."},{"id":"278","chapterid":"970","timeTo":"2552.021 ","timeFrom":"2385.157 ","number":"11","chaptername":"Discussion ","description":"In this chapter, the duration and use of vasoconstrictors for patients with active variceal bleeding are discussed. It is emphasized that vasoactive medication should start prior to endoscopy if variceal bleeding is suspected. The potential use of non-selective beta blockers following vasoconstrictors to lower portal hypertension is also covered."},{"id":"278","chapterid":"971","timeTo":"3412.184 ","timeFrom":"2552.02200","number":"12","chaptername":"Approach to lower GI bleeding by Danny De Looze ","description":"The chapter addresses the approach to acute lower GI bleeding, with an emphasis on diagnostic methods such as CT angiography, and the treatment options including endoscopic therapies. Key factors in managing hemodynamically unstable patients, the role of bowel preparation, and various endoscopic techniques like coagulation, clipping, and banding are discussed. Evidence-based practices and clinical decision-making processes are highlighted."},{"id":"278","chapterid":"972","timeTo":" ","timeFrom":"3412.18500","number":"13","chaptername":"Discussion ","description":"This chapter demonstrates a detailed inspection of the angulus and fundus, focusing on visual cues such as the 'snake skin' appearance and manner of air removal. Emphasis is placed on addressing queries related to visualization and instrumentation techniques."},{"id":"278","chapterid":"7595","timeTo":"177.99","timeFrom":"146","number":"14","chaptername":"Snake Skin aspect","description":"In this chapter, the appearance of the distal esophagus is assessed, highlighting the presence of a varix. Despite repeated bleeding episodes, the varix is largely discounted as the source. Comprehensive evaluations, including colonoscopy and abdominal imaging, do not reveal any bleeding sources. The discussion emphasizes the need for further investigation to determine the precise source of bleeding."},{"id":"278","chapterid":"7596","timeTo":"229.99","timeFrom":"178","number":"15","chaptername":"Oesophageal Varices","description":"In this chapter, the identification and management of gastric varices are discussed, including the pros and cons of different treatments. The use of a histoacryl glue injection technique is demonstrated for local treatment. Practical considerations such as scope stability, communication, and liver function assessment are emphasized."},{"id":"278","chapterid":"7597","timeTo":"527.99","timeFrom":"230","number":"16","chaptername":"Gastric Varix","description":"This chapter covers a gastrointestinal bleeding symposium featuring live cases and expert lectures. Key discussions include the management of suspected upper GI bleeding, techniques for variceal and non-variceal bleeding, and the latest protocols in endoscopy for gastroenterologists. Insights into different therapeutic methods such as band ligation, glue injection, and radiological interventions are provided."}]

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Dr. Anderson and Professor Lo Baton will guide the session, beginning with Dr. David Tate demonstrating how to approach patients with suspected upper GI bleeding.","tagid":"257","tagName":"Endoscopic Video and Room Video with Audio"},{"id":"278","split":"1","chapterid":"961","timeFrom":"59.974 ","timeTo":"189.315 ","number":"2","chaptername":"Live Session approach to upper GI bleeding ","description":"This chapter discusses the endoscopic assessment of a 44-year-old female with decompensated liver cirrhosis and a history of recurrent melena. The discussion includes the identification of portal hypertension signs, notably the striped mucosa and snake skin appearance, as well as the examination of the esophagus for varices and other lesions.","tagid":"482","tagName":"Gastric antrum;"},{"id":"278","split":"1","chapterid":"962","timeFrom":"189.316 ","timeTo":"201.57 ","number":"3","chaptername":"Inspection of the esophagus ","description":"In this chapter, the presence and behavior of oesophageal varices are examined. It is noted that the varices are flattening almost completely upon inflation, indicating a possible decrease in variceal tension or prominence. 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The importance of portal hypertension management and the patient's liver function in deciding the treatment approach is emphasized.","tagid":"707","tagName":"Gastric fundic varices"},{"id":"278","split":"1","chapterid":"963","timeFrom":"201.571 ","timeTo":"367.742 ","number":"4","chaptername":"Fundic varix ","description":"In this chapter, the focus is on a patient with repeated bleeding where imaging failed to determine the source. The discussion centers around a suspected gastric varix identified during endoscopy. Various treatment options, including local varix treatments and the role of TIPSS, were considered. 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