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GI Bleed Management

Gastrointestinal bleeding management can be done by the following methods depending on the severity:

  • IV /red cell transfusion
  • Proton pump inhibitors and erythromycin administration with antibiotics
  • Endoscopy, if started within 24 hours: ligation is done for esophageal varices, and gastric varices are sealed by tissue glue
  • Injection, thermal probes, and clips for non-variceal bleeding
  • Patients with ulcer bleeding - high dose of proton pump inhibitors via endoscope
  • Patients with recurrent variceal bleeding require a transjugular intrahepatic portosystemic shunt
  • Antithrombotic agents are also given.