Non-endoscopic Management of Acute Mechanical Colonic Obstruction and Pseudo-obstruction

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Non-endoscopic Management of Acute Mechanical Colonic Obstruction and Pseudo-obstruction

Predisposing factor Percent of ACPO patientsa Surgery 35–52 OB/gynecology 9.8–10 Abdominal/pelvic 9.3–10 Orthopedic 7–7.3 Other (urologic, thoracic, neurosurgery) 11.8 Trauma 11–11.3 Infection 10 Cardiac 10 Neurologic 9–9.3 Medical conditions 30…

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Hemostasis of Acute Small Intestinal Bleeding

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Hemostasis of Acute Small Intestinal Bleeding

Vascular lesions Angiodysplasia Dieulafoy lesion Ischemic enteritis Varices Portal enteropathy Aortoenteric fistula Phlebectasia Telangiectasia (Osler-Rendu-Weber disease, Turner’s syndrome, systemic sclerosis) Hemangioma (blue rubber bleb nevus syndrome, Klippel-Trenaunay-Weber syndrome) Inflammatory lesions…

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Approach to Suspected Lower Gastrointestinal Bleeding

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Approach to Suspected Lower Gastrointestinal Bleeding

Bleeding lesion Frequency (%) Diverticulosis 5–42 Ischemia 6–18 Anorectal (hemorrhoids, anal fissures, rectal ulcers) 6–16 Neoplasia (polyps and cancers) 3–11 Angioectasia 0–3 Postpolypectomy 0–13 Inflammatory bowel disease 2–4 Radiation colitis…

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Approach to Endoscopic Adverse Events

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Approach to Endoscopic Adverse Events

Endoscopy related Other causes Air insufflation Myocardial infarction Post-polypectomy syndrome Pulmonary embolism Perforation/abdominal compartment syndrome Pneumonia/aspiration Post-ERCP pancreatitis Diabetic ketoacidosis Endoscopic therapy-related conditions (e.g., post-band ligation, post-stent placement, post-polypectomy syndrome,…

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Approach to Suspected Variceal Bleeding

May 30, 2017 by in GASTROENTEROLOGY Comments Off on Approach to Suspected Variceal Bleeding

Fig. 4.1 Active variceal bleeding at the gastroesophageal junction Fig. 4.2 Acute variceal hemorrhage with “fibrin plug” identified on a varix (arrow) Fig. 4.3 Large esophageal varices with red color…

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