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Endoscopic Emergencies

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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Endoscopic Emergencies

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  1. Endoscopic Emergencies By Prof. DR. Mamdouh Gabr

  2. Gastrointestinal Bleeding

  3. Emergency endoscopic management of bleeding Esophageal & Gastric varices Prof. Dr. Mamdouh Gabr Tanta University

  4. Resuscitation & Resuscitation

  5. Bleeding Esophageal varies A-Active bleeding Spurter

  6. ooze Nipple

  7. & • If ………………………? Ligate the rest of the varies Stop bleeding by tissue adhesive

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

  9. ? • Bleeding point → not detected Recurrence is the rule • Ligate all varices • Close observation?

  10. Bleeding Gastric varies Unclean fundic pool Position ? ?

  11. A- Active bleeding: • Spurting • ooze • Nipple Stop by tissue adhesive

  12. B- No active bleeding: • Use tissue adhesive to obliterate the varices

  13. You can ligate?

  14. Don’t interfere

  15. ? When to interfere in a comatosed patient?

  16. Bleeding Peptic Ulcer

  17. MW Tear

  18. Lower GI Bleeding

  19. Hemorrhoids

  20. Bleeding Polyps

  21. AR Varices

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