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Dr. Hiwa Abubakir
Dr.Mohamed Alshekhani
Gastroenterologist
NVGI Bleeding
NVUGIB managemt: when Endoscopy
• Generally within 24 hours.
• But earlier in subsets of patients.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
Endoscopic intervention tools:
• Classical: Dual endoscopic hemostatic strategy.
• NS-Adrenaline + other hemostatic tool(resolution
clip,band,electrocoag,laser coag,APC,scleosants).
• New tools: mainly for high risk bleeder or recurrent bleeding after 1st
endoscopic hemostasis:
• Over the scope clip(OTSC).
• Hemostatic spary: for tumor bleeding and for difficult to access sites.
• Coagrassper hemostatic forceps( used for ESD bleedings)
• Through the scope Doppler probe to ensure bleeding vessels obliteration.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
• May need prothrombotic agents liKe activated F7 or new endoscopic
intervention tool as OTSC
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.
GIT J Club from UEG Week 2018.

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MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 

GIT J Club from UEG Week 2018.

  • 1. Dr. Hiwa Abubakir Dr.Mohamed Alshekhani Gastroenterologist NVGI Bleeding
  • 2. NVUGIB managemt: when Endoscopy • Generally within 24 hours. • But earlier in subsets of patients.
  • 5. Endoscopic intervention tools: • Classical: Dual endoscopic hemostatic strategy. • NS-Adrenaline + other hemostatic tool(resolution clip,band,electrocoag,laser coag,APC,scleosants). • New tools: mainly for high risk bleeder or recurrent bleeding after 1st endoscopic hemostasis: • Over the scope clip(OTSC). • Hemostatic spary: for tumor bleeding and for difficult to access sites. • Coagrassper hemostatic forceps( used for ESD bleedings) • Through the scope Doppler probe to ensure bleeding vessels obliteration.
  • 8. • May need prothrombotic agents liKe activated F7 or new endoscopic intervention tool as OTSC