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Endoscopic Emergencies

This presentation by Prof. Dr. Mamdouh Gabr from Tanta University addresses critical endoscopic interventions for managing gastrointestinal bleeding, focusing on esophageal and gastric varices. It discusses strategies for dealing with active bleeding—differentiating between spurting, oozing, and when to employ tissue adhesive and ligation techniques. The management of bleeding gastric varices is also covered, providing insights into observation protocols and the approach for comatosed patients. This comprehensive guide equips clinicians with the tools needed for effective emergency intervention.

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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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