BACKGROUND AND STUDY AIMS Gastrointestinal bleeding in children and adolescents accounts for up to 20 % of referrals to gastroenterologists. Detailed management guidelines exist for gastrointestinal bleeding in adults, but they do not encompass children and adolescents. The aim of this study was to assess gastrointestinal bleeding in pediatric patients and to determine an investigative manageme...

Gastrointestinal bleeding remains one of the most important emergencies in gastroenterology. It has been widely accepted that the first-line treatment for acute upper gastrointestinal bleeding, especially peptic ulcer bleeding, is endoscopic hemostasis. Several techniques are available to achieve hemostasis during endoscopy. However, some 5%-10% of the patients still experience recurrence of bl...

Double pylorus, also known as acquired double is a rare condition defined gastrointestinal fistula connecting stomach antrum and duodenal bulb. The prevalence of pylorus ranges from 0.001 to 0.4% by esophagogastroduodenoscopy (EGD). Although the etiology unknown, formation related <i>Helicobacter pylori</i> infection use non-steroidal anti-inflammatory drugs (NSAID). development occ...

Duodenal metastases are a very uncommon and peculiar cause of upper gastrointestinal bleeding. However, they should be considered in a patient presenting with upper gastrointestinal bleeding and a previous history of malignancy. The importance of recognising the unusual presentation of duodenal metastasis has to be emphasised. We describe two patients with upper gastrointestinal bleeding due to...