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Endoscopic Emergencies. By Prof. DR. Mamdouh Gabr. Gastrointestinal Bleeding. Emergency endoscopic management of bleeding Esophageal & Gastric varices. Prof. Dr. Mamdouh Gabr Tanta University. Resuscitation & Resuscitation. Bleeding Esophageal varies. A-Active bleeding. Spurter. ooze.

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slide1

Endoscopic Emergencies

By

Prof. DR. Mamdouh Gabr

emergency endoscopic management of bleeding esophageal gastric varices
Emergency endoscopic management of bleeding Esophageal & Gastric varices

Prof. Dr. Mamdouh Gabr

Tanta University

slide5

Bleeding Esophageal varies

A-Active bleeding

Spurter

slide6
ooze

Nipple

slide7

&

  • If ………………………? Ligate the rest of the varies

Stop bleeding by tissue adhesive

slide8
B- No active bleeding:
  • Exhaust yourself → in searching for the bleeding point → deal with as above
slide9

?

  • Bleeding point → not detected

Recurrence is the rule

  • Ligate all varices
  • Close observation?
slide10

Bleeding Gastric varies

Unclean fundic pool

Position

?

?

slide11
A- Active bleeding:
        • Spurting
        • ooze
        • Nipple

Stop by tissue adhesive

slide13
B- No active bleeding:
    • Use tissue adhesive to obliterate the varices
slide16

?

When to interfere in a

comatosed patient?