Acute upper gastrointestinal (GI) bleeding is one of the most common medical emergencies and most cases require urgent medical assessment. Half of all cases are due to peptic ulcer and this article focuses on non-variceal bleeding. The priority, following emergency hospital admission, is to support the circulation of the shocked patient rather than to identify the source of bleeding. After resu...

Endoscopy for acute nonvariceal upper gastrointestinal bleeding plays an important role in primary diagnosis and management, particularly with respect to identification of high-risk stigmata lesions and to providing endoscopic hemostasis to reduce the risk of rebleeding and mortality. Early endoscopy, defined as endoscopy within the first 24 hours after presentation, improves patient outcome an...

We report a case of recurrent severe upper gastrointestinal bleeding where the bleeding source was difficult to find during recurrent hospitalizations. Eventually videocapsule endoscopy was the modality that finally diagnosed an ulcerated lipoma within an area of intussuscepted jejunum. Segmental resection of small bowel was performed and no further bleeding episodes have occurred. Our case ill...

The outcome in 1017 patients with haematemesis and malaena referred to two major hospitals in Nottingham within a 2-year period has been prospectively evaluated. Ninety one (9%) patients died during the time period under consideration and all but four were found to have been over 60 years of age. There were 13 (14%) deaths following rebleeding, of whom 5 (5%) could have been potentially avoided...

Corresponding author: Hemal Shah, Junior Resident,Department of Medicine, N.K.P. Salve Institute Of Medical Sciences, Nagpur, [email protected] This article may be cited as:Shah H,Manohar TP. Clinical Endoscopic Parameters of Upper Gastrointestinal Bleeding..Int J Com Health and Med Res 2016;2(1):8-13 Article Recieved: 2-2-15 Accepted On: 15-3-2016 NTRODUCTION Upper gas...

Background Tranexamic acid reduces haemorrhage through its antifibrinolytic effects. In a previous version of the present review, we found that tranexamic acid may reduce mortality. This review includes updated searches and new trials.Objectives To assess the effects of tranexamic acid versus no intervention, placebo or other antiulcer drugs for upper gastrointestinal bleeding.Search methods We...

BACKGROUND The hemoglobin threshold for transfusion of red cells in patients with acute gastrointestinal bleeding is controversial. We compared the efficacy and safety of a restrictive transfusion strategy with those of a liberal transfusion strategy. METHODS We enrolled 921 patients with severe acute upper gastrointestinal bleeding and randomly assigned 461 of them to a restrictive strategy ...

Acute upper gastrointestinal (GI) bleeding is a potentially life-threatening condition requiring accurate, prompt, and appropriate patient evaluation and management. Clinicians of all specialties must know the best practices for preventing and managing upper GI bleeding. This article focuses on assessing and managing adults with acute nonvariceal upper GI bleeding.

Gastrointestinal bleeding has been frequently reported as a complication of advanced chronic renal failure and is the cause of mortality in 3-7% of such patients. However, mortality from gastrointestinal blood loss can be as high as 20% in renal transplant patients. A number of causes of the blood loss from the gastrointestinal tract have been outlined of which duodenal ulcer disease has been p...

To cite: Hatt J, Mills S. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016214846 DESCRIPTION A 66-year-old woman with a history of aortic stenosis, ischaemic heart disease, chronic obstructive pulmonary disease and hypertension presented to accident and emergency department, with sudden onset haematemesis and melaena. Haemoglobin on arrival was 49 g/L. Followi...