Roux-en-Y gastric bypass (RYGB) is a fairly routine surgical procedure for treating patients with morbid obesity. Since postoperative upper gastrointestinal bleeding (GI) is uncommon and etiologies in these patients can be variable, investigation and treatment can be difficult in the post-surgical patient. We report a case of a 65 year-old female, post Roux-en-Y bariatric surgery who presented ...

M e t h o d s Data sources: 5 databases, bibliographies of relevant studies, and contacting authors. Study selection and assessment: Randomized controlled trials (RCTs) ≥ 21 days in duration comparing 1 of the 5 gastroprotective strategies with nonselective NSAIDs alone on outcomes of GI toxicity. Quality assessment included randomization procedures, allocation concealment, blinding, and follow...

AIM To analyze the accuracy of computed tomography (CT) angiography in the diagnosis of acute gastrointestinal (GI) bleeding. METHODS The MEDLINE, EMBASE, Cancerlit, Cochrane Library database, Sciencedirect, Springerlink and Scopus, from January 1995 to December 2009, were searched for studies evaluating the accuracy of CT angiography in diagnosing acute GI bleeding. Studies were included if ...

Gastrointestinal stromal tumours often present with insidious upper gastrointestinal symptoms. Initial definitive diagnosis can be difficult and therefore misdiagnosis is not infrequent. Here we report a case of upper GI bleeding caused by a splenic artery aneurysm that was misdiagnosed as a gastric GIST. This rare presentation of splenic artery aneurysm highlights the potential pitfalls of inv...

ABSTR ACT BACKGROUND: It is well known that incidence of gastrointestinal (GI) disease increases with age. Endoscopy for the evaluation of upper gastrointestinal (UGI) symptoms in elderly patients frequently provides useful diagnostic information. OBJECTIVES: To ascertain the indications for and describe the outcomes of upper gastrointestinal endoscopy in older patients (65+ years) referred to ...

Dieulafoy's lesion, a dilated aberrant submucosal vessel which erodes the overlying epithelium, is a relatively rare but potentially fatal cause of gastrointestinal (Gl) bleeding. The esophagus is a very rare location for the lesion. Here we present a case of massive upper GI bleeding, secondary to this remarkably rare occurrence, which was amendable to endoscopic intervention.

aneurysms of gastric vessels (dieulafoy`s disease, caliber-persistent artery) are thought to be of malformative rather than degenerative origin. they are usually single, located in the submucosa, usually on the lesser curvature, and characterized by a large tortuous vessel surmounted by a small defect in the overlying mucosa. when the lesion perforates, massive and sometimes fatal hemorrhage ma...

Hemorrhage into pseudocyst of pancreas can rarely present as life threatening massive UGI bleeding. We present a case of 21-year-old male, admitted to our department, who was a known case of posttraumatic acute pancreatitis and who developed massive upper GI bleeding. CT angiography of abdomen showed aneurysm of gastroduodenal artery. Patient was successfully treated with coil embolization of g...

INTRODUCTION A myriad of pathologies lead to gastro-intestinal bleeding (GIB). The common clinical presentations are hematemesis, melena, and hematochezia. Endoscopy aids localization and treatment of these lesions. AIMS The aim was to study the differential diagnosis of GIB emphasizing the role of endoscopy in diagnosis and treatment of GIB. PATIENTS AND METHODS A prospective study of pati...