Endoscopic Management of Upper GI Bleeding – Dennis Jensen, MD, UCLA - UCLA Digestive Diseases

Explore the latest techniques and insights in managing upper gastrointestinal bleeding through this comprehensive lecture by Dr. Dennis Jensen from UCLA. Delve into topics such as the American Society of Anesthesiologists physical status classifications, the impact of RBC transfusion on mortality rates, and various endoscopic treatment methods. Examine the Forrest classification for ulcer hemorrhage, compare bipolar and heater probe coagulation techniques, and understand the effectiveness of hemoclipping for non-bleeding visible vessels. Analyze results from randomized controlled trials, including the CURE RCT comparing OVESCO to standard hemostasis for severe peptic ulcer bleeding. Gain valuable knowledge on managing bleeding esophageal varices and the challenges of endoscopic therapy failure. This presentation, part of the 6th Annual UCLA-Mellinkoff Gastroenterology and Hepatology Symposium, offers essential insights for gastroenterologists and healthcare professionals dealing with upper GI bleeding emergencies.

Intro
AMERICAN SOCIETY OF ANESTHESIOLOGISTS PHYSICAL STATUS CLASSIFICATIONS
RBC transfusion in UGI Bleeding & Mortality - What's New? Introduction
Adjusted Results of Multivariable Analysis of Deaths Comparing Highest to Lowest Quartile of Units of RBC Transfused at Baseline for Resuscitation
Forrest stigmata of ulcer hemorrhage
Coaptive Coagulation of an Artery
Comparison of Bipolar & Heater Probe Coagulation to Medical Surgical Treatment for Ulcers with Active Arterial Bleeding or Non-bleeding Visible Vessels in the CURE RCT
Hemoclipping invisible vessel underneath a NBVV
Comparison by Logistic Regression of RCT Standard Patients with Matched Historical Controls
CURE RCT of OVESCO vs. Standard Hemostasis of Severe PUB : DEP & 30 Day Rebleeding
RCT of Endoscopic Retreatment vs. Surgery for Recurrent Peptic Ulcer Hemorrhage
Veins of Distal Esophagus
Bleeding Distal Esophageal Varix
Failure of Endoscopie Therapy for Bleeding Esophageal Hemorrhage