Overview

It is 2 a.m. and the patient on the stretcher in front of you has melena, a heart rate of 118, an INR of 4.2 on warfarin, and three previous admissions you do not have time to read. Reach for the wrong algorithm and the next twenty-four hours bring an unnecessary transfusion, a missed variceal bleed, a delayed ERCP for the cholangitis you almost called diverticulitis, or a colectomy that was never the right answer. This handbook delivers the structured clinical reasoning that converts a chaotic GI presentation into a defensible, evidence-based plan in the time it takes to write the order set. Inside this book: - Bedside risk stratification - apply Glasgow-Blatchford, AIMS65, Oakland, and modified Hinchey scores to triage between outpatient management, the ward, and the ICU before the consult is even staffed. - Endoscopic decision-making - choose between cold snare, EMR, ESD, hemoclip, over-the-scope clip, band ligation, and Hemospray with the precision the lesion requires. - Cirrhosis decompensation playbook - manage variceal bleeding, SBP, hepatorenal syndrome, and refractory ascites with restrictive transfusion, terlipressin, early TIPS criteria, and evidence-based prophylaxis. - Modern IBD treat-to-target - sequence anti-TNF, vedolizumab, ustekinumab, IL-23p19 agents, JAK inhibitors, and S1P modulators by phenotype and prior exposure. - Pancreatobiliary intervention - execute the step-up approach to necrotizing pancreatitis with EUS-guided LAMS drainage and direct endoscopic necrosectomy. - Cancer-directed care - apply BCLC HCC staging, biomarker-driven colorectal therapy, and neoadjuvant FOLFIRINOX for borderline resectable pancreatic adenocarcinoma. Written for gastroenterologists, hepatologists, hospitalists, internists, surgeons, nurse practitioners, physician assistants, residents, fellows, and advanced students managing GI and liver disease. Buy the book your patients deserve to have at your fingertips.

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