Acute Gastrointestinal Bleeding

Fallah, Marc A.; Prakash, Chandra; Edmundowicz, Steven A.

doi:10.1016/s0025-7125(05)70282-0

Cited by 145 publications

(102 citation statements)

References 152 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A combination of embolic materials can be beneficial (microcoils with gelatin foam or microparticles) to reduce the risk of rebleeding [24]. Selective intra-arterial infusion of vasoconstrictor agents is rarely used due to the high frequency of rebleeding ([50 %) [8,25,26] and occurrence of systemic side effects [6]. It could be considered for diffuse mucosal hemorrhage, diverticular bleeding, postpolypectomy, or lesions inaccessible to a microcatheter.…”

Section: Methodsmentioning

confidence: 99%

Quality Improvement Guidelines for Transcatheter Embolization for Acute Gastrointestinal Nonvariceal Hemorrhage

Válek

Hustý

2012

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

Section: Methodsmentioning

confidence: 99%

Quality Improvement Guidelines for Transcatheter Embolization for Acute Gastrointestinal Nonvariceal Hemorrhage

Válek

Hustý

2012

Cardiovasc Intervent Radiol

View full text Add to dashboard Cite

“…About 50% of the patients who are admitted to tertiary care hospitals with upper gastro-intestinal bleeding have PU bleeding (10). Incidence rates of PU complications reported in the literature are somewhat conflicting.…”

Section: Original Articlementioning

confidence: 99%

Peptic ulcer complications requiring surgery: What has changed in the last 50 years in Turkey

Güzel

Kahramanca²,

Seker³

et al. 2014

Turk J Gastroenterol

View full text Add to dashboard Cite

Background/Aims: The incidence and prevalence of peptic ulcer disease has decreased in recent years, but it is not so easy to make the same conclusion when complications of peptic ulcer are taken into consideration. The aim of this study is to determine the time trends in complicated peptic ulcer disease and to state the effects of H2 receptor blockers, proton pump inhibitors (PPI), and H. pylori eradication therapies on these complications. Materials and Methods: This study retrospectively evaluated the patients who were operated on for complications (perforation, bleeding, and obstruction) of peptic ulcer for the last 50 years. Patients were grouped into four groups (G1-G4) according to the dates in which H2 receptor blockers, PPIs, and eradication regimens for H. pylori were introduced The time periods that were studied were: (G1) 1962-1980, (G2) 1981-1990, (G3) 1991-1997, and (G4) 1998-2012. Results: In total, 2953 patients were operated on for complications of peptic ulcer disease, of which 86% of the patients were male. In G1, perforation and obstruction were significantly the most frequent complications (p<0.001), followed by bleeding. In groups G2 and G3, obstruction was still the most frequent complication requiring surgery (p<0.001). In G2 and G3, obstruction was followed by perforation and bleeding, respectively. In G4, perforation was significantly the most frequent complication (p<0.001). Conclusion: From 1962 to 1990 obstruction was the most common complication requiring surgery. In the last decade, perforation became the most common complication. In contrast to reports in the literature, bleeding was the least common complication requiring surgery in Turkey.

show abstract

“…4,5 Bleeding is self-limited in 80% of patients with UGI bleed, even without specific therapy. 6,7 Of the remaining 20% who continue to bleed or rebleed, the mortality rate is 30% to 40%. 8 A variety of conditions can cause UGIB, and bleeding from peptic ulcer remains the commonest cause accounting for approximately (31-67%) of the cases, followed by oesophageal varices (6-39), mallory-weiss tears (2-8%), drugs (NSAIDS, heparin, steroid, calcium channel antagonist, coumarin derivative, aspirin+alcohol).…”

mentioning

confidence: 99%

Clinical profile of patients presenting with gastrointestinal bleeding in a tertiary care hospital

et al. 2017

View full text Add to dashboard Cite

Background: It has been seen that Upper gastrointestinal bleeding (UGIB) is one of the most mutual gastrointestinal emergencies for physicians and surgeons. In the recent past studies, there is raised incidence of peptic ulcer with raised frequency of bleeding from it. The range of upper GI bleeding fluctuates from region to region and relies on the status of the centre in hospital hierarchy.Methods: An observational, cross-sectional, hospital-based, single centre study was carried out on 150 patients admitted in tertiary care hospital with the presentation of GI bleeding. A detailed patient history was taken followed by required clinical and laboratory investigations. Then patients were resuscitated and subjected to endoscopic procedure.Results: 150 patients were treated among which 105 were male (70%) and 45 females (30%). 111 patients (74%) had upper GI bleed, 28 patients (19%) had lower GI bleed, and 11 patients (7%) had obscure bleed. 41% of the population were diagnosed to have peptic ulcer (gastric or duodenal) as the cause behind GI bleed forming the main aetiology in this study population, 26% had oesophageal varices constituting second important cause of GI bleed, and 7% had obscure bleed. Those who had undergone UGI endoscopy or sigmoidoscopy or colonoscopy within last one month and who were having GI bleed following GI surgery were excluded from the study.Conclusions: It was seen that upper GI bleeding is more common than lower GI bleeding. Peptic ulcer was the chief cause resulting in gastrointestinal bleed followed by oesophageal varices. Gastrointestinal bleeding was more common in male population affecting mainly subjects over 40 years of age.

show abstract

Acute Gastrointestinal Bleeding

Cited by 145 publications

References 152 publications

Quality Improvement Guidelines for Transcatheter Embolization for Acute Gastrointestinal Nonvariceal Hemorrhage

Quality Improvement Guidelines for Transcatheter Embolization for Acute Gastrointestinal Nonvariceal Hemorrhage

Peptic ulcer complications requiring surgery: What has changed in the last 50 years in Turkey

Clinical profile of patients presenting with gastrointestinal bleeding in a tertiary care hospital

Contact Info

Product

Resources

About