Non-variceal Upper Gastrointestinal Bleeding (NVUGIB)

Non-variceal upper gastrointestinal bleeding (NVUGIB) remains a common and challenging emergency for gastroenterologists and general physicians. The current recommendations for the management of patients with NVUGIB have been updated. In the course, Dr. Danny J. Avalos discusses the prevalence and risk factors for patients with NVUGIB and the latest guidelines on scoring systems, optimal endoscopy timing and the determination of appropriate patient management to optimize care and outcomes. 

Target Audience

Hospitalists, Emergency Medicine Physicians, House Physicians and Physician Assistants.

Learning Objectives

  • Identify the prevalence and risk factors for patients with non-variceal upper gastrointestinal bleeding (NVUGIB).
  • Outline the pathophysiology of NVUGIB.
  • Utilize the appropriate upper gastrointestinal (UGI) bleeding scoring system in the determination of patient management and optimal timing for upper endoscopy. 
  • Utilize evidence-based data in the determination of appropriate anticoagulation therapy after NVUGIB.
Additional information
Bibliography: 

Lau, J. Y., Yu, Y., Tang, R. S., Chan, H. C., Yip, H. C., Chan, S. M., ... & Chan, T. T. (2020). Timing of endoscopy for acute upper gastrointestinal bleeding. New England Journal of Medicine, 382(14), 1299-1308.

Barkun, A. N., Almadi, M., Kuipers, E. J., Laine, L., Sung, J., Tse, F., ... & Douketis, J. (2019). Management of nonvariceal upper gastrointestinal bleeding: guideline recommendations from the International Consensus Group. Annals of internal medicine, 171(11), 805-822.

Hwang, J. H., Fisher, D. A., Ben-Menachem, T., Chandrasekhara, V., Chathadi, K., Decker, G. A., ... & Fukami, N. (2012). The role of endoscopy in the management of acute non-variceal upper GI bleeding. Gastrointestinal endoscopy, 75(6), 1132-1138.

Course summary
Available credit: 
  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
Course opens: 
12/01/2020
Course expires: 
11/30/2022

Danny J. Avalos, M.D.
Gastroenterologist
Homestead Hospital

Danny J. Avalos, M.D., faculty for this educational activity, has no relevant financial relationship with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Mark Rosenthal, D.O., conference director, has no relevant financial relationship with ineligible companies* to disclose.

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.  

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
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