Might be a simple question but need some clearification.
My understanding is that for GI bleeds (UGIB/LGIB) if the patient is hemo unstable then IVFs, blood, platlets, plasma is the initial management till the patient is stable, then an emergent endoscopy for etiology. If the patient is presents stable scope the patient for the etiology. What is the role of NG/lavage? I know it has no therapeutic benefit but can distinguish upper vs lower. I am getting mixed information regarding the use of this, some say no need. Should you do it first see if its upper or lower then scope (EGD vs Colonoscopy) or just jump straight to scope (As in jump to EGD to r/o upper then do colonoscopy)?
My understanding is that for GI bleeds (UGIB/LGIB) if the patient is hemo unstable then IVFs, blood, platlets, plasma is the initial management till the patient is stable, then an emergent endoscopy for etiology. If the patient is presents stable scope the patient for the etiology. What is the role of NG/lavage? I know it has no therapeutic benefit but can distinguish upper vs lower. I am getting mixed information regarding the use of this, some say no need. Should you do it first see if its upper or lower then scope (EGD vs Colonoscopy) or just jump straight to scope (As in jump to EGD to r/o upper then do colonoscopy)?
