Network Five: Gastroenterology

Network Five: Episode 17 – Gastroenterology

Guest Speakers – Dr Tim O’Sullivan (gastroenterologist and endoscopy fellow), Dr Oksana Williams (emergency physician), Varan Perananthan (gastroenterology advanced trainee), Maria Martino (emergency medicine advanced trainee), Sydney – Australia.

Part 1

In this segment, we explore the ideal timing of endoscopy in patients with upper gastrointestinal bleeding.

• Horibe M, Iwasaki E, Matsuzaki J, Bazerbachi F, Kaneko T, Minami K, Fukuhara S, Masaoka T, Hosoe N, Ogura Y, Namiki S, Hosoda Y, Ogata H, Kanai T. Superiority of urgent vs early endoscopic hemostasis in patients with upper gastrointestinal bleeding with high-risk stigmata. Gastroenterol Rep (Oxf). 2021 Nov 2;9(6):543-551.

Part 2

In this part, we discuss the potential role of thromboelastography (TEG) management of variceal bleeding in patients with cirrhosis. The interlude segment will be presented by emergency physician Dr Oksana Williams.

• Rout G, Shalimar, Gunjan D, Mahapatra SJ, Kedia S, Garg PK, Nayak B. Thromboelastography-guided Blood Product Transfusion in Cirrhosis Patients With Variceal Bleeding: A Randomized Controlled Trial. J Clin Gastroenterol. 2020 Mar;54(3):255-262.

Part 3

In this final part of the episode, we explore the efficacy of proton pump inhibitors in upper gastrointestinal bleeding..

• Sreedharan A, Martin J, Leontiadis GI, Dorward S, Howden CW, Forman D, Moayyedi P. Proton pump inhibitor treatment initiated prior to endoscopic diagnosis in upper gastrointestinal bleeding. Cochrane Database Syst Rev. 2010 Jul 7;2010(7):CD005415.

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