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Endoscopic Management of Upper GI Bleeding | Dr. Manik Lal Thakur Upper GI bleeding is a serious medical condition that refers to bleeding in the upper gastrointestinal tract, which includes the esophagus, stomach, and duodenum. This condition can present in different forms, such as vomiting blood or passing black stools, indicating the presence of digested blood. Early diagnosis and management are critical to prevent severe complications, and upper GI endoscopy plays a vital role in both diagnosing and treating this condition. In this video, Dr. Manik Lal Thakur, Consultant - Gastroenterology at Narayana Multispeciality Hospital, Jessore Road, Kolkata, explains the endoscopic management of upper GI bleeding and how it helps identify the source of bleeding, stop the bleeding, and provide immediate treatment options. What is Upper GI Bleeding? Upper GI bleeding refers to any bleeding that originates from the upper gastrointestinal tract. This includes the esophagus, stomach, and duodenum, which are essential components of the digestive system. GI bleeding can lead to significant health issues if not managed properly. Symptoms of Upper GI Bleeding: Vomiting blood (hematemesis), which may appear red or coffee-ground like. Black or tarry stools (melena), which indicate digested blood from the upper GI tract. Abdominal pain or discomfort. Weakness, dizziness, or even fainting due to blood loss. Management of Upper GI Bleeding: The primary goal in the management of upper GI bleeding is to identify the cause and control the bleeding. Early intervention is crucial, and upper GI endoscopy is often the first-line procedure used to diagnose and treat the condition. In many cases, bleeding can be stopped during the endoscopy using specialized tools. Causes of Upper GI Bleeding: Upper GI bleeding can be caused by a variety of conditions, including: Peptic ulcers (stomach or duodenal ulcers) Gastritis (inflammation of the stomach lining) Esophageal varices (enlarged veins in the esophagus) Mallory-Weiss tear (tears in the esophagus) Gastrointestinal tumors or cancer Vascular malformations in the GI tract Endoscopic Therapy for Upper GI Bleeding: During an upper GI endoscopy, a flexible tube with a camera is inserted through the mouth to visualize the esophagus, stomach, and duodenum. If bleeding is identified, endoscopic therapy can be applied to stop the bleeding using techniques such as: Coagulation to seal off blood vessels. Injection therapy to stop bleeding from ulcers or varices. Endoscopic band ligation or sclerotherapy for varices. Endoscopy is an effective, minimally invasive procedure that allows doctors to treat upper GI bleeding in real-time, significantly improving patient outcomes. For consultations with Dr. Manik Lal Thakur or to learn more about upper GI bleeding management, visit Narayana Health and book a video consultation with our expert doctors here. Stay connected with Narayana Health for more health updates on GI bleeding and digestive health: Facebook: Narayana Health Instagram: @NarayanaHealthIndia Twitter: @NarayanaHealth Blog: Narayana Health Blog LinkedIn: Narayana Health Quora: Narayana Health on Quora Video Chapters: 0:00 - Introduction 0:20 - What is Upper GI Bleeding? 0:42 - Symptoms of Upper GI Bleeding 1:10 - Management of Upper GI Bleeding 1:40 - Causes of Upper GI Bleeding 2:41 - Endoscopic Therapy for Upper GI Bleeding