BACKGROUND AND PURPOSE Patients with ischemic or hemorrhagic stroke are at risk for systemic complications. The reasons why gastrointestinal bleeding occurs after stroke are unknown and have intuitively been attributed to stress ulcers. No study to date has addressed causes of gastrointestinal hemorrhage in stroke. METHODS Between 1976 and 1994, 17 patients identified from the Mayo Clinic med...

a nine month old infant was taken to a rural medical center due to hematemesis and melena. the bleeding persisted in spite of active management with gastric lavage, intravenous cimetidine, antiacid therapy and blood transfusion for four days' duration. the patient was referred to our center for further evaluation and management. on arrival he was pale and ill looking with active bleeding f...

Massive upper gastrointestinal bleeding is a life-threatening emergency which needs urgent intervention. Hematological malignancies are very rare causes of this type of bleeding and they usually originate from duodenum. In this case we present a gastric diffuse large B-cell lymphoma (DLBCL) causing massive upper gastrointestinal system bleeding. A 77-year-old male patient was admitted to emerge...

OBJECTIVES The utility of nasogastric aspiration and lavage in the emergency management of patients with melena or hematochezia without hematemesis is controversial. This evidence-based emergency medicine review evaluates the following question: does nasogastric aspiration and lavage in patients with melena or hematochezia and no hematemesis differentiate an upper from lower source of gastroint...