CONTEXT Luminal bleeding after pancreaticoduodenectomy can be present in various degrees of acuity in up to 30% of patients. CASE REPORT In this report, we describe a rare and uncommon cause of gastrointestinal bleeding after pancreaticoduodenectomy and review of the literature. CONCLUSIONS Multiple biliary procedures with common complications increase the difficulty making the correct diag...

OBJECTIVE To confirm and quantify any association between spironolactone and upper gastrointestinal bleeding and ulcers. DESIGN Population based case-control study. SETTING A primary care information database in the Netherlands. PARTICIPANTS All people on the database who were aged 18 or more between 1 January 1996 and 30 September 2003. Patients with a history of alcoholism or gastrointe...

BACKGROUND Splenic artery aneurysm is rare and its diagnosis is challenging due to the nonspecific nature of the clinical presentation. We report a case of a splenic artery aneurysm in which the patient presented with chronic dyspepsia and multiple episodes of minor intragastric bleeding. CASE PRESENTATION A 60-year-old, previously healthy Sri Lankan man presented with four episodes of hemate...

Whether it is the primary reason for admission or a complication of critical illness, upper gastrointestinal bleeding is commonly encountered in the intensive care unit. In this setting, in the absence of endoscopy, intensivists generally provide supportive care (transfusion of blood products) and acid suppression (such as proton pump inhibitors). More recently, octreotide (a somatostatin analo...

Applying the scores according to the ethiopthogenesis of the upper gastrointestinal bleeding. Influencing the medication and surgical treatment according to prognosis. Development of a prognosis score modified for assessing the need or not for admission of some patients belonging to different risk groups, performing endoscopy or blood transfusions in patients with upper gastrointestinal bleedin...

Aim: The upper gastrointestinal bleeding (UGB) are frequent reasons for urgent consultation. The aim of our study is to determine the causes of upper gastrointestinal Bleeding in patients in our department. Materials and Methods: A retrospective study over 6 years between June 2011 and March 2017 covering 683 patients with a Upper gastrointestinal bleeding collected at the Gastroenterology II d...