New insights on an old medical emergency: non-portal hypertension related upper gastrointestinal bleeding

Cúrdia-Gonçalves, Tiago; Rosa, Bruno; Cotter, José

doi:10.17235/reed.2016.4240/2016

Cited by 6 publications

(4 citation statements)

References 84 publications

(112 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The condition isa potentially dangerous and high risk which proves to be fatal if treatment is delayed. 9,10 .Upper GI bleed is defined as bleeding from gastrointestinal tract above the level of ligament of Treitz that clinically depicts as hematemesis or melena. 11 As compared to bleeding from the lower gastrointestinal tract (below the level of ligament of Treitz), UGIB is more prevalent and carries worst prognosis with overall mortality ranging from 6% to 10%.incidence of UGIB is approximately 100 cases per 100,000 population per year.…”

Section: Discussionmentioning

confidence: 99%

Frequency of Gastric Varices in patients presenting with upper gastrointestinal bleed

Iltaf¹,

Khan²,

Kashif³

2022

PJMHS

View full text Add to dashboard Cite

Aim: To establish the frequency of gastric varices in patients presenting with upper GI bleed. Study design: Descriptive cross sectional study. Place and duration of study: Department of Gastroenterology, Hayatabad Medical Complex, Peshawar from 11th May 2018 to 11th November 2018. Methodology: Ninety three patients with upper GI bleed were enrolled. After brief history and clinical evaluation, prompt resuscitation was done. Patient underwent a careful upper GI endoscopic evaluation after initial resuscitation. All endoscopic procedures were carried out by a single gastroenterologist of at least assistant professor level to detect gastric varices. All the information’s collected were recorded Results: The mean age was 37±12.2 years. Fifty four percent patients were male while 46% patients were female. Twenty two percent patients had gastric varices while 78% patients didn’t had gastric varices. Conclusion: The frequency of gastric varices was 22% in patients presenting with upper gastrointestinal bleed. Key words: Gastric varices, Upper, Gastrointestinal bleed

show abstract

Section: Discussionmentioning

confidence: 99%

Frequency of Gastric Varices in patients presenting with upper gastrointestinal bleed

Iltaf¹,

Khan²,

Kashif³

2022

PJMHS

View full text Add to dashboard Cite

show abstract

“…Compared to bleeding from the lower gastrointestinal tract, it occurs 4x more often, and also has a much higher mortality rate of 6-10%, depending on the source and 2x more often in men. [1][2][3][4][5][6][7][8][9] The most common cause of upper gastrointestinal bleeding is gastric ulcer (27-40% of all bleeding episodes). 10 Risk factors for upper gastrointestinal bleeding are alcohol abuse, renal failure, H. pylori infection and non-steroidal anti-inflammatory drugs (NSAID) use.…”

Section: Management Of Gastrointestinal Bleedingmentioning

confidence: 99%

Management of Patient with Simultaneous Overt Gastrointestinal Bleeding and Myocardial Infarction with ST-Segment Elevation – Priority Endoscopy

Nożewski

Grześk

Kłopocka

et al. 2021

VHRM

View full text Add to dashboard Cite

Background:The current ERC guidelines are the source of many positive changes, reduction of mortality, length of hospitalization and improvement of prognosis of STEMI patients. However, there is a small group of patients whose slight modification in guidelines would further reduce in-hospital mortality and hospitalization costs. These are patients with concomitant STEMI infarction and gastrointestinal bleeding. Methods: Two separate methods of treatment were compared in patients with concomitant gastrointestinal bleeding and ST-segment elevation myocardial infarction. The first -traditional approach, in the line with the ESC guidelines, the second innovative, with priority for endoscopy. Results: Despite the innovative approach, the patient with endoscopy before PCI was discharged without complication. A patient who has undergone coronary intervention and who has been started on typical antiplatelet therapy prior to gastroenterological diagnosis has died due to massive bleeding. Conclusion:For ethical reasons and in connection with the cardiological guidelines of the management of ACS, a study of patients with ASC a high risk of intestinal bleeding, in which endoscopy will have priority, and only later PCI, will probably never be performed. Although, as the described case shows, despite exceeding the 90 minutes time to implement PCI (<120 minutes) in logistic terms such behavior is completely feasible.

show abstract

“…Varices cases have been reported with high mortality than non varices. The scenarios where non varices cases are observed includes peptic ulcers, esophagitis, gastritis, malignancies as well as Mallory-Weiss tears [7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Determination of Various Causes of Upper Gastrointestinal Bleeding

Abdaal¹,

Ghafoor²,

Akram³

et al. 2022

PJMHS

View full text Add to dashboard Cite

Aim: To determine the various causes of upper gastrointestinal bleeding through endoscopic method. Study design: Descriptive observational study Place and duration of study: Department of Medicine, SKZB, CMH Muzaffarabad from 1st January 2021 to 30th June 2022. Methodology: Ninety patients of upper gastrointestinal bleeding which were clinically and endoscopically confirmed of their state and between <25 to >66 years of age were included. Endoscopy procedure was conducted using lignocaine gargling as analgesia. Grading system was utilized for scoring endoscopy results as Grade I to IV. Results: There were 52 (57.8%) males and 38(42.2%) females. The mean age of the patients was 48.5±3.3 years. It was also seen that majority of the males as well as females had esophageal varices and peptic ulcer as the main cause of UGB followed by esophagitis and gastritis. Conclusion: Esophageal varices and peptic ulcer followed by esophagitis and gastritis are the main cause of upper gastrointestinal bleeding. Key words: Causes, Upper gastrointestinal bleeding, Endoscopic method

show abstract

New insights on an old medical emergency: non-portal hypertension related upper gastrointestinal bleeding

Cited by 6 publications

References 84 publications

Frequency of Gastric Varices in patients presenting with upper gastrointestinal bleed

Frequency of Gastric Varices in patients presenting with upper gastrointestinal bleed

Management of Patient with Simultaneous Overt Gastrointestinal Bleeding and Myocardial Infarction with ST-Segment Elevation – Priority Endoscopy

Endoscopic Determination of Various Causes of Upper Gastrointestinal Bleeding

Contact Info

Product

Resources

About