I Am Called In for an Active Upper Gl Bleed: How Do I Best Manage It? By Dr. Andy Tau
Mastering the Management of Active Upper GI Bleeding with Expert Tools and Techniques
Dr. Andy Tau is a Master Endoscopist well known for tackling the most difficult gastrointestinal endoscopy cases presenting to the hospital. Dr. Tau works with Austin Gastroenterology Group in Austin, Texas, USA. In this video he presents comprehensive strategies for managing active upper GI bleeding. The video addresses three main challenges: difficult visualization, difficult positioning, and refractory bleeding, by demonstrating techniques and tools through 10 representative cases. Key methods include patient repositioning, the use of clear caps, various hemostatic devices, retroflexion-friendly clips, and emergency hemostatic powders. Also covered are innovative techniques like the bone wax and CO2 methods for delivering hemostatic powder efficiently. Dr. Tau also shares his knowledge and lots of tips and tricks on Twitter (X) (see link below).
00:00 Introduction to Managing Upper GI Bleeds
00:32 Pain Point 1: Difficult Visualization
02:01 Case Studies for Visualization Techniques
04:00 Pain Point 2: Difficult Position
06:21 Case Studies for Positioning Techniques
07:56 Pain Point 3: Refractory Bleeding
09:44 Case Studies for Refractory Bleeding
12:27 Advanced Techniques and Tips
20:12 Conclusion and Key Takeaways