Bleeding in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM.
Bleeding from a PEPTIC ULCER that can be located in any segment of the GASTROINTESTINAL TRACT.
The black, tarry, foul-smelling FECES that contain degraded blood.
Vomiting of blood that is either fresh bright red, or older "coffee-ground" in character. It generally indicates bleeding of the UPPER GASTROINTESTINAL TRACT.
A condition characterized by mucosal tears at the ESOPHAGOGASTRIC JUNCTION, sometimes with HEMATEMESIS. Typically it is caused by forceful bouts of retching or VOMITING.
Bleeding or escape of blood from a vessel.
Pathological conditions in the DUODENUM region of the small intestine (INTESTINE, SMALL).
Bleeding into one or both CEREBRAL HEMISPHERES including the BASAL GANGLIA and the CEREBRAL CORTEX. It is often associated with HYPERTENSION and CRANIOCEREBRAL TRAUMA.
Dilated blood vessels in the ESOPHAGUS or GASTRIC FUNDUS that shunt blood from the portal circulation (PORTAL SYSTEM) to the systemic venous circulation. Often they are observed in individuals with portal hypertension (HYPERTENSION, PORTAL).
Bleeding into the intracranial or spinal SUBARACHNOID SPACE, most resulting from INTRACRANIAL ANEURYSM rupture. It can occur after traumatic injuries (SUBARACHNOID HEMORRHAGE, TRAUMATIC). Clinical features include HEADACHE; NAUSEA; VOMITING, nuchal rigidity, variable neurological deficits and reduced mental status.
The abundant submucosal mucous glands in the DUODENUM. These glands secrete BICARBONATE IONS; GLYCOPROTEINS; and PEPSINOGEN II.
Procedures of applying ENDOSCOPES for disease diagnosis and treatment. Endoscopy involves passing an optical instrument through a small incision in the skin i.e., percutaneous; or through a natural orifice and along natural body pathways such as the digestive tract; and/or through an incision in the wall of a tubular structure or organ, i.e. transluminal, to examine or perform surgery on the interior parts of the body.
Endoscopic examination, therapy or surgery of the gastrointestinal tract.
Pathological processes in the ESOPHAGUS.
Ulceration of the GASTRIC MUCOSA due to contact with GASTRIC JUICE. It is often associated with HELICOBACTER PYLORI infection or consumption of nonsteroidal anti-inflammatory drugs (NSAIDS).
Pathological processes involving the STOMACH.
Endoscopic examination, therapy or surgery of the interior of the stomach.
Techniques for controlling bleeding.
Control of bleeding performed through the channel of the endoscope. Techniques include use of lasers, heater probes, bipolar electrocoagulation, and local injection. Endoscopic hemostasis is commonly used to treat bleeding esophageal and gastrointestinal varices and ulcers.
Surgical fixation of the stomach to the abdominal wall.
A congenital abnormality characterized by the outpouching or sac formation in the ILEUM. It is a remnant of the embryonic YOLK SAC in which the VITELLINE DUCT failed to close.
Bleeding within the SKULL, including hemorrhages in the brain and the three membranes of MENINGES. The escape of blood often leads to the formation of HEMATOMA in the cranial epidural, subdural, and subarachnoid spaces.
Pathological development in the ILEUM including the ILEOCECAL VALVE.
Abnormal increase of resistance to blood flow within the hepatic PORTAL SYSTEM, frequently seen in LIVER CIRRHOSIS and conditions with obstruction of the PORTAL VEIN.
Ulcer that occurs in the regions of the GASTROINTESTINAL TRACT which come into contact with GASTRIC JUICE containing PEPSIN and GASTRIC ACID. It occurs when there are defects in the MUCOSA barrier. The common forms of peptic ulcers are associated with HELICOBACTER PYLORI and the consumption of nonsteroidal anti-inflammatory drugs (NSAIDS).
Hemorrhage in or through the BILIARY TRACT due to trauma, inflammation, CHOLELITHIASIS, vascular disease, or neoplasms.
Tumors or cancer in the JEJUNUM region of the small intestine (INTESTINE, SMALL).
Bleeding from the vessels of the retina.
Endoscopy of the small intestines accomplished while advancing the endoscope into the intestines from the stomach by alternating the inflation of two balloons, one on an innertube of the endoscope and the other on an overtube.
The technology of transmitting light over long distances through strands of glass or other transparent material.
The largest branch of the celiac trunk with distribution to the spleen, pancreas, stomach and greater omentum.
A spectrum of congenital, inherited, or acquired abnormalities in BLOOD VESSELS that can adversely affect the normal blood flow in ARTERIES or VEINS. Most are congenital defects such as abnormal communications between blood vessels (fistula), shunting of arterial blood directly into veins bypassing the CAPILLARIES (arteriovenous malformations), formation of large dilated blood blood-filled vessels (cavernous angioma), and swollen capillaries (capillary telangiectases). In rare cases, vascular malformations can result from trauma or diseases.
A lesion on the surface of the skin or a mucous surface, produced by the sloughing of inflammatory necrotic tissue.
Disease having a short and relatively severe course.
A compound used as an x-ray contrast medium that occurs in nature as the mineral barite. It is also used in various manufacturing applications and mixed into heavy concrete to serve as a radiation shield.
Radiography of blood vessels after injection of a contrast medium.
Situations or conditions requiring immediate intervention to avoid serious adverse results.
Abnormal passage communicating with the STOMACH.
A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.
Excess blood loss from uterine bleeding associated with OBSTETRIC LABOR or CHILDBIRTH. It is defined as blood loss greater than 500 ml or of the amount that adversely affects the maternal physiology, such as BLOOD PRESSURE and HEMATOCRIT. Postpartum hemorrhage is divided into two categories, immediate (within first 24 hours after birth) or delayed (after 24 hours postpartum).
Pathological development in the JEJUNUM region of the SMALL INTESTINE.
Tumors or cancer of the DUODENUM.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS).
Not an aneurysm but a well-defined collection of blood and CONNECTIVE TISSUE outside the wall of a blood vessel or the heart. It is the containment of a ruptured blood vessel or heart, such as sealing a rupture of the left ventricle. False aneurysm is formed by organized THROMBUS and HEMATOMA in surrounding tissue.
An abnormal passage between two or more BLOOD VESSELS, between ARTERIES; VEINS; or between an artery and a vein.
The introduction of whole blood or blood component directly into the blood stream. (Dorland, 27th ed)
Opening or penetration through the wall of the INTESTINES.
The prototypical analgesic used in the treatment of mild to moderate pain. It has anti-inflammatory and antipyretic properties and acts as an inhibitor of cyclooxygenase which results in the inhibition of the biosynthesis of prostaglandins. Aspirin also inhibits platelet aggregation and is used in the prevention of arterial and venous thrombosis. (From Martindale, The Extra Pharmacopoeia, 30th ed, p5)
Incision into the side of the abdomen between the ribs and pelvis.
Hemorrhage into the VITREOUS BODY.
Intraocular hemorrhage from the vessels of various tissues of the eye.
Death resulting from the presence of a disease in an individual, as shown by a single case report or a limited number of patients. This should be differentiated from DEATH, the physiological cessation of life and from MORTALITY, an epidemiological or statistical concept.
A branch of the celiac artery that distributes to the stomach, pancreas, duodenum, liver, gallbladder, and greater omentum.
Pathological outpouching or sac-like dilatation in the wall of any blood vessel (ARTERIES or VEINS) or the heart (HEART ANEURYSM). It indicates a thin and weakened area in the wall which may later rupture. Aneurysms are classified by location, etiology, or other characteristics.
The return of a sign, symptom, or disease after a remission.
Tumors or cancer of the GASTROINTESTINAL TRACT, from the MOUTH to the ANAL CANAL.
Anti-inflammatory agents that are non-steroidal in nature. In addition to anti-inflammatory actions, they have analgesic, antipyretic, and platelet-inhibitory actions.They act by blocking the synthesis of prostaglandins by inhibiting cyclooxygenase, which converts arachidonic acid to cyclic endoperoxides, precursors of prostaglandins. Inhibition of prostaglandin synthesis accounts for their analgesic, antipyretic, and platelet-inhibitory actions; other mechanisms may contribute to their anti-inflammatory effects.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
Liver disease in which the normal microcirculation, the gross vascular anatomy, and the hepatic architecture have been variably destroyed and altered with fibrous septa surrounding regenerated or regenerating parenchymal nodules.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Enlarged and tortuous VEINS.
The shortest and widest portion of the SMALL INTESTINE adjacent to the PYLORUS of the STOMACH. It is named for having the length equal to about the width of 12 fingers.
Tomography using x-ray transmission and a computer algorithm to reconstruct the image.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Fibrinolysin or agents that convert plasminogen to FIBRINOLYSIN.
Tumors or cancer of the INTESTINES.
Cyclic esters of hydroxy carboxylic acids, containing a 1-oxacycloalkan-2-one structure. Large cyclic lactones of over a dozen atoms are MACROLIDES.
Compounds that inhibit H(+)-K(+)-EXCHANGING ATPASE. They are used as ANTI-ULCER AGENTS and sometimes in place of HISTAMINE H2 ANTAGONISTS for GASTROESOPHAGEAL REFLUX.
Bleeding within the subcortical regions of cerebral hemispheres (BASAL GANGLIA). It is often associated with HYPERTENSION or ARTERIOVENOUS MALFORMATIONS. Clinical manifestations may include HEADACHE; DYSKINESIAS; and HEMIPARESIS.
A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of medical care.
Constriction of arteries in the SKULL due to sudden, sharp, and often persistent smooth muscle contraction in blood vessels. Intracranial vasospasm results in reduced vessel lumen caliber, restricted blood flow to the brain, and BRAIN ISCHEMIA that may lead to hypoxic-ischemic brain injury (HYPOXIA-ISCHEMIA, BRAIN).
Diseases in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM.
The portion of the GASTROINTESTINAL TRACT between the PYLORUS of the STOMACH and the ILEOCECAL VALVE of the LARGE INTESTINE. It is divisible into three portions: the DUODENUM, the JEJUNUM, and the ILEUM.
Bleeding within the SKULL that is caused by systemic HYPERTENSION, usually in association with INTRACRANIAL ARTERIOSCLEROSIS. Hypertensive hemorrhages are most frequent in the BASAL GANGLIA; CEREBELLUM; PONS; and THALAMUS; but may also involve the CEREBRAL CORTEX, subcortical white matter, and other brain structures.
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
Elements of limited time intervals, contributing to particular results or situations.
Hemorrhage following any surgical procedure. It may be immediate or delayed and is not restricted to the surgical wound.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
A collection of blood outside the BLOOD VESSELS. Hematoma can be localized in an organ, space, or tissue.
The confinement of a patient in a hospital.
Azoles of two nitrogens at the 1,2 positions, next to each other, in contrast with IMIDAZOLES in which they are at the 1,3 positions.
The period of confinement of a patient to a hospital or other health facility.
Abnormal outpouching in the wall of intracranial blood vessels. Most common are the saccular (berry) aneurysms located at branch points in CIRCLE OF WILLIS at the base of the brain. Vessel rupture results in SUBARACHNOID HEMORRHAGE or INTRACRANIAL HEMORRHAGES. Giant aneurysms (>2.5 cm in diameter) may compress adjacent structures, including the OCULOMOTOR NERVE. (From Adams et al., Principles of Neurology, 6th ed, p841)
Hemorrhage from the vessels of the choroid.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
Works about clinical trials that involve at least one test treatment and one control treatment, concurrent enrollment and follow-up of the test- and control-treated groups, and in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.
Intracranial bleeding into the PUTAMEN, a BASAL GANGLIA nucleus. This is associated with HYPERTENSION and lipohyalinosis of small blood vessels in the putamen. Clinical manifestations vary with the size of hemorrhage, but include HEMIPARESIS; HEADACHE; and alterations of consciousness.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.

Responses of human intestinal microvascular endothelial cells to Shiga toxins 1 and 2 and pathogenesis of hemorrhagic colitis. (1/2175)

Endothelial damage is characteristic of infection with Shiga toxin (Stx)-producing Escherichia coli (STEC). Because Stx-mediated endothelial cell damage at the site of infection may lead to the characteristic hemorrhagic colitis of STEC infection, we compared the effects of Stx1 and Stx2 on primary and transformed human intestinal microvascular endothelial cells (HIMEC) to those on macrovascular endothelial cells from human saphenous vein (HSVEC). Adhesion molecule, interleukin-8 (IL-8), and Stx receptor expression, the effects of cytokine activation and Stx toxins on these responses, and Stx1 and Stx2 binding kinetics and bioactivity were measured. Adhesion molecule and IL-8 expression increased in activated HIMEC, but these responses were blunted in the presence of toxin, especially in the presence of Stx1. In contrast to HSVEC, unstimulated HIMEC constitutively expressed Stx receptor at high levels, bound large amounts of toxin, were highly sensitive to toxin, and were not further sensitized by cytokines. Although the binding capacities of HIMEC for Stx1 and Stx2 were comparable, the binding affinity of Stx1 to HIMEC was 50-fold greater than that of Stx2. Nonetheless, Stx2 was more toxic to HIMEC than an equivalent amount of Stx1. The decreased binding affinity and increased toxicity for HIMEC of Stx2 compared to those of Stx1 may be relevant to the preponderance of Stx2-producing STEC involved in the pathogenesis of hemorrhagic colitis and its systemic complications. The differences between primary and transformed HIMEC in these responses were negligible. We conclude that transformed HIMEC lines could represent a simple physiologically relevant model to study the role of Stx in the pathogenesis of hemorrhagic colitis.  (+info)

Validation of the Rockall risk scoring system in upper gastrointestinal bleeding. (2/2175)

BACKGROUND: Several scoring systems have been developed to predict the risk of rebleeding or death in patients with upper gastrointestinal bleeding (UGIB). These risk scoring systems have not been validated in a new patient population outside the clinical context of the original study. AIMS: To assess internal and external validity of a simple risk scoring system recently developed by Rockall and coworkers. METHODS: Calibration and discrimination were assessed as measures of validity of the scoring system. Internal validity was assessed using an independent, but similar patient sample studied by Rockall and coworkers, after developing the scoring system (Rockall's validation sample). External validity was assessed using patients admitted to several hospitals in Amsterdam (Vreeburg's validation sample). Calibration was evaluated by a chi2 goodness of fit test, and discrimination was evaluated by calculating the area under the receiver operating characteristic (ROC) curve. RESULTS: Calibration indicated a poor fit in both validation samples for the prediction of rebleeding (p<0.0001, Vreeburg; p=0.007, Rockall), but a better fit for the prediction of mortality in both validation samples (p=0.2, Vreeburg; p=0.3, Rockall). The areas under the ROC curves were rather low in both validation samples for the prediction of rebleeding (0.61, Vreeburg; 0.70, Rockall), but higher for the prediction of mortality (0.73, Vreeburg; 0.81, Rockall). CONCLUSIONS: The risk scoring system developed by Rockall and coworkers is a clinically useful scoring system for stratifying patients with acute UGIB into high and low risk categories for mortality. For the prediction of rebleeding, however, the performance of this scoring system was unsatisfactory.  (+info)

Management and outcome of patients undergoing surgery after acute upper gastrointestinal haemorrhage. Steering Group for the National Audit of Acute Upper Gastrointestinal Haemorrhage. (3/2175)

Most patients with acute upper gastrointestinal haemorrhage are managed conservatively or with endoscopic intervention but some ultimately require surgery to arrest the haemorrhage. We have conducted a population-based multicentre prospective observational study of management and outcomes. This paper concerns the subgroup of 307 patients who had an operation because of continued or recurrent haemorrhage or high risk of further bleeding. The principal diagnostic group was those with peptic ulcer. Of 2071 patients with peptic ulcer presenting with acute haemorrhage, 251 (12%) had an operative intervention with a mortality of 24%. In the non-operative group mortality was 10%. The operative intervention rate increased with risk score, ranging from 0% in the lowest risk categories to 38% in the highest. Much of the discrepancy between operative and non-operative mortality was explainable by case mix; however, for high-risk cases mortality was significantly higher in the operated group. In 78% of patients who underwent an operation for bleeding peptic ulcer there had been no previous attempt at endoscopic haemostasis. For patients admitted to surgical units, the operative intervention rate was about four times higher than for those admitted under medical teams. In patients with acute upper gastrointestinal haemorrhage operative intervention is infrequent and largely confined to the highest-risk patients. The continuing high mortality in surgically treated patients is therefore to be expected. The reasons for the low use of endoscopic treatment before surgery are not revealed by this study, but wider use of such treatments might further reduce the operative intervention rate. Physicians and surgeons have not yet reached consensus on who needs surgery and when.  (+info)

Hemorrhagic enteritis associated with Clostridium perfringens type A in a dog. (4/2175)

A female Shetland sheep dog died suddenly with hemorrhagic diarrhea and vomitting, and was examined pathologically and microbiologically. Gross pathological change was restricted to the intestinal tract. The intestine contained watery, blood-stained fluid. Histopathologically, the principal intestinal lesion was superficial mucosal hemorrhagic necrosis at the jejunoileum. Many Gram-positive bacilli were found adhering to the necrotic mucosal surface in parts of the intestinal tract. Clostridium perfringens in pure culture were isolated from jejunal contents by anaerobic culture. These results suggested that the typical lesion of this case coincided with canine hemorrhagic enteritis and enterotoxemia due to C. perfringens infection could be the cause of sudden death.  (+info)

Comparison of endoscopic ligation and propranolol for the primary prevention of variceal bleeding. (5/2175)

BACKGROUND AND METHODS: We compared propranolol therapy and endoscopic ligation for the primary prevention of bleeding from esophageal varices. This prospective, controlled trial included consecutive eligible patients who had large varices (>5 mm in diameter) that were at high risk for bleeding. The patients were assigned to either propranolol therapy, at a dose sufficient to decrease the base-line heart rate by 25 percent, or variceal ligation, to be performed weekly until the varices were obliterated or so reduced in size that it was not possible to continue treatment. RESULTS: Of the 89 patients, 82 of whom had cirrhosis of the liver, 44 received propranolol and 45 underwent variceal ligation. The mean (+/-SD) duration of follow-up in each group was 14+/-9 and 13+/-10 months, respectively. The mean time required to achieve an adequate reduction in the heart rate was 2.5+/-1.7 days; the mean number of sessions needed to complete variceal ligation was 3.2+/-1.1. After 18 months, the actuarial probability of bleeding was 43 percent in the propranolol group and 15 percent in the ligation group (P=0.04). Twelve patients in the propranolol group and four in the ligation group had bleeding. Three of the four in the ligation group had bleeding before their varices had been obliterated. Nine patients in the ligation group had recurrent varices, a mean of 3.7 months after the initial treatment. Five patients in each group died; bleeding from the varices was the cause of death of four patients in the propranolol group and of three in the ligation group. There were no serious complications of variceal ligation; in the propranolol group, treatment was stopped in two patients because of side effects. CONCLUSIONS: In patients with high-risk esophageal varices, endoscopic ligation of the varices is safe and more effective than propranolol for the primary prevention of variceal bleeding.  (+info)

Effect of angiotensin II and telmisartan, an angiotensin1 receptor antagonist, on rat gastric mucosal blood flow. (6/2175)

BACKGROUND: Angiotensin II (ATII) has been suggested to contribute to shock-induced dysfunction of the gastric circulation. AIM: To substantiate this conjecture, the effects on gastric mucosal haemodynamics and the hyperaemic response to acid back-diffusion of ATII and the angiotensin AT1 receptor antagonist, telmisartan, were examined in normal rats and in animals subjected to haemorrhage. METHODS: Gastric mucosal blood flow in phenobarbital-anaesthetized rats was recorded with the hydrogen clearance technique, and acid back-diffusion was induced by perfusing the stomach with ethanol (25%) in HCl (0.05 M). RESULTS: Intravenous infusion of ATII (0.3-10 nmol/min/kg) led to dose-dependent hypertension and a reduction of blood flow and vascular conductance in the gastric mucosa. The gastric hyperaemia caused by acid back-diffusion was attenuated by ATII (1 nmol/min/kg). These effects of ATII were antagonized by intravenous injection of telmisartan (1-10 mg/kg) which per se caused hypotension and dilated the gastric mucosal vasculature, but did not modify the gastric mucosal hyperaemia evoked by acid back-diffusion. Hypotension induced by haemorrhage (1.3 mL blood per 100 g body weight) failed to alter the hyperaemia due to acid back-diffusion, but caused gastric mucosal vasoconstriction, an effect that was left unaffected by telmisartan. CONCLUSIONS: ATII constricts the rat gastric microvasculature via an action involving AT1 receptors. The effects of telmisartan indicate that endogenous ATII contributes to the homeostatic regulation of gastric vascular tone but does not compromise the ability of the gastric microvasculature to react to influxing acid. These results negate the concept that ATII contributes to the gastric vascular perturbances in haemorrhagic shock.  (+info)

Thrombelastographic changes and early rebleeding in cirrhotic patients with variceal bleeding. (7/2175)

BACKGROUND: Routine coagulation tests do not necessarily reflect haemostasis in vivo in cirrhotic patients, particularly those who have bleeding varices. Thrombelastography (TEG) can provide a global assessment of haemostatic function from initial clot formation to clot dissolution. AIM: To evaluate TEG changes in cirrhotic patients with variceal bleeding and their association with early rebleeding. PATIENTS/METHODS: Twenty cirrhotic patients with active variceal bleeding had serial TEG and routine coagulation tests daily for seven days. The TEG variables before the day of rebleeding (n = 6) were compared with those of patients without rebleeding (n = 14). RESULTS: Baseline characteristics of the rebleeding and non-rebleeding groups were comparable apart from a higher incidence of uncontrolled infection on the day of rebleeding in the rebleeding group (p = 0.007). The patients in the rebleeding group were more hypocoagulable before the day of rebleeding as shown by longer r (42 v 24 mm, p < 0.001) and k (48 v 13 mm, p < 0.001) and smaller a (12 v 38 degrees, p < 0.001) compared with the mean of daily results of the non-rebleeding group. Routine coagulation tests, however, showed no significant differences between the two groups. CONCLUSION: The results of serial TEG measurements suggest that hypocoagulability may be associated with early rebleeding in cirrhotic patients.  (+info)

Two way push videoenteroscopy in investigation of small bowel disease. (8/2175)

AIMS: To evaluate the diagnostic yield and safety of a new push type videoenteroscope (PVE) for diagnosis of small bowel disease. METHODS: Three hundred and thirteen patients were referred for one or two way PVE from December 1993 to June 1996. Indications for PVE were: an unexplained iron deficiency anaemia with or without clinically evident gastrointestinal bleeding; or a complementary investigation for suspected small bowel disease, after a small bowel barium follow through (SBBFT) considered as normal or abnormal, but without a definite diagnosis. RESULTS: A jejunoscopy and a retrograde ileoscopy were carried out in 306 and 234 patients, respectively. In patients with isolated anaemia (n = 131) and those with clinically evident gastrointestinal bleeding associated anaemia (n = 72), PVE provided a diagnosis in 26 (19.8%) and 22 (30.5%) cases, respectively. Lesions found were located in the jejunoileum in 30 (14.7%) patients and in the gastroduodenum or the colon in 18 (8.8%) patients--that is, within the reach of the conventional gastroscope/colonoscope. In patients with normal (n = 54) or abnormal (n = 56) SBBFT, PVE provided a diagnosis in 17 (31%) and 27 (48%) cases, respectively. In 25% of cases, the abnormal appearance of SBBFT was not confirmed. The site of the radiological abnormality was not reached in 27% of cases. Lesions were located at the jejunum and the ileum in 59 (64%) and 33 (36%) cases, respectively. CONCLUSIONS: PVE is useful in around 30% of cases of unexplained anaemia or after an SBBFT which failed to provide an accurate aetiological diagnosis. Use of retrograde videoenteroscopy increases diagnostic yield by one third.  (+info)

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PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
PubMed comprises more than 30 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full-text content from PubMed Central and publisher web sites.
Hemorrhagic gastritis Blood in the feces (red blood, fresh blood), , Blood in the feces after defecation, , hemorrhagic gastritis
BACKGROUND: Upper gastrointestinal haemorrhage affects 50 to 150 per 100,000 adults per year and has a high mortality. Red blood cell transfusions are frequently given, but their impact on rebleeding rates and mortality is not known. OBJECTIVES: To assess the effects of red blood cell transfusion in adults with upper gastrointestinal haemorrhage. SEARCH STRATEGY: We searched the Cochrane Upper Gastrointestinal and Pancreatic Diseases Group Trials Register to February 2008, the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2008, issue 1), MEDLINE (1950 to February 2008), EMBASE (1974 to February 2008), the Systematic Review Initiative database of randomised controlled trials, haematology and gastroenterology conference proceedings, and reference lists of articles. We also searched databases of ongoing clinical trials. SELECTION CRITERIA: Randomised and quasi-randomised studies comparing red blood cell transfusion and standard care with other intravenous fluid and standard
The clinical and autopsy findings in 200 consecutive cases of fatal upper gastrointestinal hemorrhage have been reviewd. In each instance, the bleeding was either the primary cause of death or a major contributing factor.. In general, the etiologies of the hemorrhage were similar to those generally seen in clinical practices, that is, peptic ulceration of the stomach or duodenum and esophageal varices. However, many unusual and unexpected lesions were also found.. In over 30% of the cases, the bleeding was not recognized clinically, its presence being apparent only upon autopsy examination. Most of these occurred in the older age group ...
JB Bullas, S Pfister; Upper gastrointestinal hemorrhage. Crit Care Nurse 1 May 1984; 4 (3): 72-74. doi: Download citation file:. ...
Gastrointestinal Hemorrhage Global Clinical Trials Review, H1, 2015 Gastrointestinal Hemorrhage Global Clinical Trials Review, H1, 2015 Summary GlobalDatas clinical trial report,
Feeling GASTROINTESTINAL HAEMORRHAGE while using Metronidazole? GASTROINTESTINAL HAEMORRHAGE Causes, Patient Concerns and Latest Treatments and Metronidazole Reports and Side Effects.
Feeling GASTROINTESTINAL HAEMORRHAGE while using Prednisone? GASTROINTESTINAL HAEMORRHAGE Causes, Patient Concerns and Latest Treatments and Prednisone Reports and Side Effects.
Latest 59122-46-2 misoprostol excellent products for gastric and duodenal ulcers, hemorrhagic gastritis from Quality Steroid, Shanghai Yi Jing Industrial Co. Ltd. - a Wholesale Supplier from China.
The localization of the precise site of massive upper gastrointestinal hemorrhage is of considerable value in guiding therapy. Newer methods of diagnosing and documenting gastrointestinal hemorrhage employed by the Division of Gastroenterology at Seton Hall College of Medicine in the past 2 years have included the Fluorescein-Diagnostotube test and fiberoscopy with cine recordings where feasible.. The fluorescein string test has been modified by development of a new flexible, plastic tube (Diagnostotube) with 60 intraluminal radiopaque numbers 1 inch apart, and an outer absorbent sheath. Experience has been gained in 92 patients, 71 of whom had evidence of upper gastrointestinal bleeding. ...
Diagnostic performance of ct angiography for gastrointestinal haemorrhage according to the clinical severity. . Biblioteca virtual para leer y descargar libros, documentos, trabajos y tesis universitarias en PDF. Material universiario, documentación y tareas realizadas por universitarios en nuestra biblioteca. Para descargar gratis y para leer online.
2. A variety of haemorrhagic and neurological complications were commoner in HHT than matched controls including stroke (odds ratio (OR) 1.81) steroid side effects, cerebral abscess (OR 30), epistaxis (OR 11.6) and gastrointestinal haemorrhage (OR 6.08). The odds of cardiac failure (OR 2.36) and colon cancer (OR 2.76) were significantly higher in those with HHT when compared to controls.. anabolic steroids Which is strange, because ol Andy is a fixture in football, like an uncle with faults the whole family can name without thinking twice. Let see: He persistently favours the pass over the run steroid side effects, has a red zone offence that is approximately as reliable as my old Chevy Celebrity, and that clock how does that clock work, anyway? It stops between plays, or something. Anyway, just huddle up and go, guys.. anabolic steroids Anaerobic production of lactate/ethanol, oxygen dependent conversion of pyruvate to acetyl CoA. Mobilisation of glycogen, other feeder pathways for glycolysis. ...
Please pray for me so I can be well and be here for my children who are still young. I am a mother of four. I have gastrointestinal hemorrhages that are
Results: 688 cases of acute non-variceal UGIB were included with an incidence rate of 54.4 (95%CI: 50.5-58.6) per 100,000 per year. Endoscopy was performed within 12 hours in 71.8%. 5.3% of the patients required surgical treatment and the overall mortality was 13.5%. Weekend presentation was associated with increased transfusion requirements (p=0.047), surgery (p=0.016) and mortality (p=0.021). Presentation with hemodynamic instability or presence of comorbidities was associated with transfusion (p,0.001 both), second look endoscopy (p,0.001 both), re-bleeding (p,0.001 both), longer in-hospital stay (p,0.001 both) and mortality (p=0.017 and p,0.001). GBS was associated with transfusion requirement (AUC:0.82; cut-off: GBS ,7points), while mortality was best predicted by the post-endoscopic RS (AUC:0.75; cut-off: RS ,5points). ...
TY - ABST. T1 - PTH-044 Effect of renal failure on the outcome of upper gi haemorrhage including risk scoring. AU - Murray, Iain A. AU - Haddock, R. E.. AU - Menzies-Gow, A. AU - Füchtbauer, D. AU - Laursen, Stig Borbjerg. PY - 2019/6/16. Y1 - 2019/6/16. U2 - 10.1136/gutjnl-2019-BSGAbstracts.69. DO - 10.1136/gutjnl-2019-BSGAbstracts.69. M3 - Conference abstract in journal. VL - 68. SP - A34. JO - Gut. JF - Gut. SN - 0017-5749. IS - Suppl. 2. ER - ...
Acute upper gastrointestinal bleeding (UGIB) is a gastroenterological emergency. Learn about Upper Gastrointestinal Bleeding (UGIB Bleeding) and Rockall Score
Results 95 patients (60 male mean [±SD] age 59.2 [±19.1]; 35 female, 55.2 [±28.4]) with suspected severe UGIB were treated in emergency theatres over the 12 month period. 93/95 (98%) had significant UGIB; 82% ASA grade ≥3 and Glasgow Blatchford Scores (GBS) were recorded in 18% of cases; median (range) score 12 (1-19). 64% were classified as theatre urgency 1 (U1; within 60 mins) and 25% U3 (within 180 mins). 64% of those in U1 had a high shock index (SI , 0.9). However, median time from referral to endoscopy was 215 (range 37-1370) minutes. 47% breached the theatre urgency code times; including 59% of those assigned to U1. A consultant gastroenterologist was present in theatre in 86/95 (91%) of cases and 96% of patients received a general anaesthetic with rapid-sequence induction. The UGIB was non-variceal in 55/95 (58%; endoscopic intervention in 63%), variceal in 32/95 (34%), no cause found 8/95 (8%). 70% received a blood transfusion within 24 hrs of admission, mean 2.7(±2.5) units ...
Diagnosis Code K31.82 information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
Diagnosis Code K31.82 information, including descriptions, synonyms, code edits, diagnostic related groups, ICD-9 conversion and references to the diseases index.
Massive Upper Gastrointestinal Bleeding (Hemorrhage). This medical illustration series depicts the normal anatomy of the thorax and abdomen. It then compares the normal abdominal cavity to one that has a massive upper gastrointestinal bleeding resulting from erosion of multiple ulcers in the duodenum and stomach lining.
Massive Upper Gastrointestinal Bleeding (Hemorrhage). This medical illustration series depicts the normal anatomy of the thorax and abdomen. It then compares the normal abdominal cavity to one that has a massive upper gastrointestinal bleeding resulting from erosion of multiple ulcers in the duodenum and stomach lining.
Ten percent of patients with very rapid upper gastrointestinal hemorrhage may also have a history of hematochezia and syncope. 103.
The Glasgow Blatchford Score (GBS) is a pre-endoscopic risk assessment tool for patients presenting with upper gastrointestinal haemorrhage (UGIH). It can predict need for intervention or death and identifies low risk patients suitable for out-patient management ...
A multicenter, prospective, cross-sectional, analytic study was conducted that recruited patients diagnosed with nonvariceal upper gastrointestinal bleeding within the time frame of 2011 to 2015. Six Mexican hospital centers participated in the study. The Rockall and PNED system scores were calculated, classifying the patients as having mild, moderate, or severe disease. The association between mortality and risk was determined through the chi-square test and relative risk (RR) calculation. Statistical significance was set at a P
Objectives To examine the use of endoscopy in the UK for acute upper gastrointestinal bleeding (AUGIB) and compare with published standards. To assess the organisation of endoscopy services for AUGIB in the UK. To examine the relationship between outcomes and out of hours (OOH) service provision.. Design Multi-centre cross sectional clinical audit.. Setting All UK hospitals accepting admissions with AUGIB.. Patients All adults (≥16 yrs) presenting with AUGIB between 1st May and 30th June 2007.. Data Collection A custom designed web-based reporting tool was used to collect data on patient characteristics, comorbidity and haemodynamic status at presentation to calculate the Rockall score, use and timing of endoscopy, treatment including endoscopic, rebleeding and in-hospital mortality. A mailed questionnaire was used to collect data on facilities and service organisation.. Results Data on 6750 patients (median age 68 years) were analysed from 208 hospitals. 74% underwent inpatient endoscopy; of ...
Use of risk scoring systems in the assessment of patients presenting with upper gastrointestinal haemorrhage is increasing. Comparative studies have intended to identify the system of choice, but the majority of these are characterized by retrospective designs, small sample sizes, low rate of severe bleeding, or low mortality. The main aim of this study was to identify the optimal scoring system ...
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Koh, P.; Roslani, A.; Vimal, K.; Shariman, M.; Umasangar, R.; Lewellyn, R. (2010) Concurrent amoebic and histoplasma colitis: a rare cause of massive lower gastrointestinal bleeding. Journal of Gastroenterology, 16 (10). pp. 1296-8. ISSN 1007-9327. ...
and eating 5 or 6 meals a day is a good choice. but also conditioning body. It is forbidden to chat with the voice. The growth of muscle protein is the most important source of nutrition.Why is the skinny fat counter attack) How to practice? or a bowl of cereal are good choice of transport during gastric gastrointestinal blood flow change of food exercise the muscles cause stomach cramps early fasting exercise before the stagflation reserve enough energy to keep 60 minutes 90 minutes of exercise to sleep early exercise before breakfast is a little late night bed is rich in carbohydrates Some time to exercise and from 4 meals should be started before exercise 45 minutes 60 minutes with some food selection bias depends on the exercise,: copy preview common size (450*500pix) larger size (630*500pix) Tuesday to do aerobic exercise. drinking will make the body absorb alcohol components country heat beachbody faster country heat dvd and enter the blood. earn 18 yuan every 30 minutes, Ive been ...
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...
How would training in America change without Lasix? The push to ban the drug has forced horsemen to rethink their methods for treating bleeders.
New and Refurbished Dental Equipment at Affordable Prices 1/4 External Tooth Washer - 50 per package [RPH186] - Features 50 per package Size: 1/4 Type: External Tooth Lock Washer Material: Stainless steel Also
Looking for online definition of Gastrointestinal Blood Loss Scan in the Medical Dictionary? Gastrointestinal Blood Loss Scan explanation free. What is Gastrointestinal Blood Loss Scan? Meaning of Gastrointestinal Blood Loss Scan medical term. What does Gastrointestinal Blood Loss Scan mean?
Background: Despite advances in treatment, acute variceal haemorrhage remains life-threatening. Aim: To describe contemporary characteristics, management and outcomes of patients with cirrhosis and acute variceal haemorrhage and risk factors for rebleeding and mortality. Methods: Multi-centre clinical audit conducted in 212 UK hospitals. Results: In 526 cases of acute variceal haemorrhage, 66% underwent endoscopy within 24. h with 64% (n= 339) receiving endoscopic therapy. Prior to endoscopy, 57% (n= 299) received proton pump inhibitors, 44% (n= 232) vasopressors and 27% (n= 144) antibiotics. 73% (n= 386) received red cell transfusion, 35% (n= 184) fresh frozen plasma and 14% (n= 76) platelets, with widely varying transfusion thresholds. 26% (n= 135) experienced further bleeding and 15% (n= 80) died by day 30. The Model for End Stage Liver Disease score was the best predictor of mortality (area under the receiver operating curve. = 0.74, P| 0.001). Neither the clinical nor full Rockall scores were
Description of disease Mallory-Weiss Syndrome. Treatment Mallory-Weiss Syndrome. Symptoms and causes Mallory-Weiss Syndrome Prophylaxis Mallory-Weiss Syndrome
Meltzer AC, Ali A, Kresiberg RB, et al. Video capsule endoscopy in the emergency department: a prospective study of acute upper gastrointestinal hemorrhage. Ann Emerg Med. 2013 Feb 8 [Epub ahead of print]. Available at: Rubin M, Hussain SA, Shalomov A, et al. Live view video capsule endoscopy enables risk stratification of patients with acute upper GI bleeding in the emergency room: a pilot study. Dig Dis Sci. 2011;56:786-791.. Gralnek IM, Ching J, Maza I, et al. 233 Capsule endoscopy (CE) in persons presenting with acute upper gastrointestinal hemorrhage (UGIH)-a prospective cohort study. Gastrointest Endosc. 2011;73:AB120.. Sidhu R, Sanders DS, Kapur K, et al. Capsule endoscopy: is there a role for nurses as physician extenders? Gastroenterol Nurs. 2007;30:45-48.. Meltzer AC, Burnett S, Pinchbeck C, et al. Rockall and Blatchford scores to identify emergency department patients with suspected upper gastrointestinal ...
A 56 year old man suffered a Q wave myocardial infarction complicating a massive lower gastrointestinal haemorrhage, with postinfarction dyspnoea. He had bilateral lower extremity intermittent claudication despite femoropopliteal artery bypass grafting several years previously. Cardiac catheterisation was performed via the left brachial artery because of absent femoral pulses. There was severe global left ventricular systolic dysfunction, ostial left main coronary artery stenosis, right coronary artery occlusion, and there were suitable targets for coronary artery bypass grafting. The aorta was completely occluded below the renal arteries (Leriche phenomenon, panel A). Weak abdominal (ureteral) collateral arteries reconstituted the femoral arteries (arrowhead). A selective angiogram of the left internal mammary artery (LIMA, panel B) showed significantly more collateral supply from the left subclavian artery to the left femoral artery via the inferior epigastric artery.. Internal mammary ...
Purpose : To examine the utility and limitations of computed tomography enteroclysis (CTE) in examining clinically suspected small intestinal hemorrhage.Subjects and Methods : Subjects comprised 41 patients (16 men, 25 women) with suspected gastrointestinal bleeding based on fecal occult blood or tarry stool between April 2008 and August 2010. CTE was performed after the cause of bleeding could not be clearly identified on upper or lower gastrointestinal endoscopy. Capsule endoscopy was also performed in 25 patients and double balloon endoscopy in 13 patients. Results : CTE findings were obtained for 17 of 41 patients (41%), suggesting vascular malformation in 9 patients (22%), inflammatory bowel disease in 7 (17%), and small intestinal tumor in 1 (2%). Capsule endoscopy or double balloon endoscopy confirmed these suspicions in all except 1 patient with angiodysplasia confirmed angiographically and 1 patient with a false-positive finding of tumor. In 20 of the 24 patients showing no ...
Background: Following non-variceal upper gastrointestinal bleeding (NVUGIB), 10-15 per cent of patients experience further bleeding. Although surgery has been the traditional salvage therapy, there is renewed interest in transcatheter arterial embolization (TAE). This study examined the use, clinical characteristics and outcomes of patients receiving salvage surgery or TAE after failed endoscopic haemostasis for NVUGIB. Methods: A UK national audit of upper gastrointestinal bleeding was undertaken in May and June 2007. A logistic regression model was used to identify clinical predictors of endoscopic failure. Results: Data were analysed from 4478 patients involving 212 UK centres. Some 533 (11·9 per cent) experienced further bleeding, of whom 163 (30·6 per cent) proceeded to salvage therapy with surgery (97), TAE (60) or both (6). Among surgical patients (mean age 71 years), 66·0 per cent (68 of 103) had a Rockall score of at least 3 and emergency surgery was carried out between midnight and 08.00
Dagher L, Patch D, Burroughs A. Management of oesophageal varices. Hosp Med 2000; 61: 711-717.. Garcia-Tsao G, Bosch J. Management of varices and variceal haemorrhage in cirrhosis: NEJM 2010; 362: 823-832.. Ghosh S. Watts D, Kinnear M. Management of gastrointestinal haemorrhage. Postgrad Med J 2002; 78: 4-14.. Gotzsche P C. Somatostatin or octreotide for acute bleeding oesophageal varices. Cochrane Database Syst Rev 2000; 2: CD000103.. Gow P J, Chapman R W. Modern management of oesophageal varices. Postgrad Med J 2001; 77: 75-81. Lau J Y W, Sung J J Y, Lee K K C et al. Effects of intravenous omeprazole on recurrent bleeding after endoscopic treatment of bleeding peptic ulcers. N Eng J Med 2000; 343: 310-316.. Ohmann C, Imhof M, Roher H D. Trends in peptic ulcer bleeding and surgical management. World J Surg 2000; 24: 284-293.. Rosch J, Keller F S. Transjugular intrahepatic portosystemic shunt: present status, comparison with endoscopic therapy and shunt surgery and future perspectives. World J ...
Learn and reinforce your understanding of Mallory-Weiss syndrome. Check out our video library. Mallory-Weiss syndrome or gastro-esophageal laceration syndrome refers to bleeding from a laceration in the mucosa at the junction of the stomach and esophagus
Yang, X.; Guo, K., 2013: Massive lower gastrointestinal bleeding from Meckel's diverticulum with heterotopic pancreas: case report and a brief review of the literature
Proton pump inhibitors (PPI) have an important role in the treatment of upper gastrointestinal haemorrhage and in the healing and maintenance of peptic ulcer disease. Recent international guidelines, based on expert consensus, recommend that PPI should be considered prior to endoscopy in patients with non-variceal upper gastrointestinal haemorrhage.1 Sreedharan and colleagues have thus conducted a systematic literature review and meta-analysis assessing the impact of pre-endoscopic PPI therapy on meaningful clinical outcomes.. ...
Aim. Helicobacter pylori (H. pylori) infection is exceptionally rare in population from the north-eastern region of Peninsular Malaysia. This provides us an opportunity to contemplate the future without H. pylori in acute non-variceal upper gastrointestinal (GI) bleeding.Methods. All cases in the GI registry with GI bleeding between 2003 and 2006 were reviewed. Cases with confirmed non-variceal aetiology were analysed. Rockall score | 5 was considered high risk for bleeding and primary outcomes studied were in-hospital mortality, recurrent bleeding and need for surgery.Results. The incidence of non-variceal upper GI bleeding was 2.2/100,000 person-years. Peptic ulcer bleeding was the most common aetiology (1.8/100,000 person-years). In-hospital mortality (3.6%), recurrent bleeding (9.6%) and need for surgery (4.0%) were uncommon in this population with a largely low risk score (85.2% with score ≤5). Elderly were at greater risk for bleeding (mean 68.5 years, P = 0.01) especially in the presence of
TY - JOUR. T1 - Short- and long-term outcomes for patients with variceal haemorrhage in a tertiary hospital. AU - Halland, Magnus. AU - Ansley, S. J.. AU - Stokes, B. J.. AU - Fitzgerald, M. N.. AU - Inder, K. J.. AU - Duggan, J. M.. AU - Duggan, A.. PY - 2013/3/1. Y1 - 2013/3/1. N2 - Background/Aim: To determine short- and long-term outcomes among a cohort of patients with variceal haemorrhage at a tertiary referral centre, and to determine the predictive value of the model for end-stage liver disease (MELD) score for mortality in these patients. Methods: Prospective database hospital audit that captured patients who presented with or were transferred with variceal haemorrhage between 2004 and 2008, and a retrospective review of long-term outcomes. Patients who presented to or were transferred to John Hunter Hospital, a tertiary referral hospital, with confirmed variceal bleeding were included. The main outcome measures were in-hospital, 6 weeks and end-of-audit mortality. We also recorded ...
Mallory-Weiss syndrome is the name given to bleeding and other symptoms caused by a tear in the lining of the upper part of the gut (gastrointestinal tract).
Dieulafoys lesion (exulceratio simplex Dieulafoy) is a medical condition characterized by a large tortuous arteriole most commonly in the stomach wall (submucosal) that erodes and bleeds. It can present in any part of the gastrointestinal tract. It can cause gastric hemorrhage but is relatively uncommon. It is thought to cause less than 5% of all gastrointestinal bleeds in adults. It was named after French surgeon Paul Georges Dieulafoy, who described this condition in his paper Exulceratio simplex: Leçons 1-3 in 1898. It is also called caliber-persistent artery or aneurysm of gastric vessels. However, unlike most other aneurysms, these are thought to be developmental malformations rather than degenerative changes. Dieulafoys lesions are characterized by a single large tortuous small artery in the submucosa which does not undergo normal branching or a branch with caliber of 1-5 mm (more than 10 times the normal diameter of mucosal capillaries). The lesion bleeds into the ...
DI-fusion, le Dépôt institutionnel numérique de lULB, est loutil de référencementde la production scientifique de lULB.Linterface de recherche DI-fusion permet de consulter les publications des chercheurs de lULB et les thèses qui y ont été défendues.
A large number of patients require antiplatelet therapy (mainly aspirin and/or clopidogrel). Recent studies suggest that the combination of these agents is useful in patients with acute coronary syndrome and after percutaneous coronary intervention with stent placement. On the other hand, bleeding complications, most of which arise from the upper gastrointestinal (UGI) tract, can limit the use of antiplatelet drugs. Clopidogrel appears to be associated with fewer UGI side effects and bleeding compared with aspirin. However, a history of previous UGI bleeding is a major risk factor for clopidogrel-associated bleeding. The use of proton-pump inhibitors (PPIs) decreases the rate of UGI bleeding in patients receiving aspirin or clopidogrel. Furthermore, a recent study suggested that the administration of low-dose aspirin plus high-dose esomeprazole (a potent PPI) was associated with fewer episodes of UGI bleeding than clopidogrel alone in patients with a history of recent UGI haemorrhage. However, ...
Mallory-Weiss Syndrome answers are found in the Diseases and Disorders powered by Unbound Medicine. Available for iPhone, iPad, Android, and Web.
Background/Aims: Selecting patients with an urgent need for endoscopic hemostasis is difficult based only on simple parameters of presumed acute upper gastrointestinal bleeding. This study assessed easily applicable factors to predict cases in need of urgent endoscopic hemostasis due to acute upper gastrointestinal bleeding. Methods: The consecutively included patients were divided into the endoscopic hemostasis and nonendoscopic hemostasis groups. We reviewed the enrolled patients medical records and analyzed various variables and parameters for acute upper gastrointestinal bleeding outcomes such as demographic factors, comorbidities, symptoms, signs, laboratory findings, rebleeding rate, and mortality to evaluate simple predictive factors for endoscopic treatment ...
Variceal bleed is a severe complication of portal hypertension. We studied the predictors of failure to control variceal bleed and re-bleed in Patients with cirrhosis. We reviewed the case records of 382 consecutive Patients admitted with variceal bleed from January 2001 to December 2005. Diagnosis of cirrhosis was made on clinical, laboratory, and radiological parameters. Acute variceal bleeding, failure to control bleed, and re-bleeding were defined according to Baveno III consensus report. Failure to control bleed was observed in 39 (10.2%) Patients while in hospital re-bleed occurred in 49 (12.8%) Patients. Thirty-four Patients died. Diabetes was present in 148 (39%) Patients. On multivariate logistic regression analysis, predictors of failure to control bleed were presence of diabetes mellitus and active bleeding at the time of endoscopy, predictors of in-hospital re-bleed were diabetes mellitus and serum bilirubin |3 mg/dL. Diabetes mellitus, active bleeding at endoscopy and bilirubin |3 mg/dL are
Anemia is defined as a hemoglobin level of less than the 5th percentile for age. Causes vary by age. Most children with anemia are asymptomatic, and the condition is detected on screening laboratory evaluation. Screening is recommended only for high-risk children. Anemia is classified as microcytic, normocytic, or macrocytic, based on the mean corpuscular volume. Mild microcytic anemia may be treated presumptively with oral iron therapy in children six to 36 months of age who have risk factors for iron deficiency anemia. If the anemia is severe or is unresponsive to iron therapy, the patient should be evaluated for gastrointestinal blood loss. Other tests used in the evaluation of microcytic anemia include serum iron studies, lead levels, and hemoglobin electrophoresis. Normocytic anemia may be caused by chronic disease, hemolysis, or bone marrow disorders. Workup of normocytic anemia is based on bone marrow function as determined by the reticulocyte count. If the reticulocyte count is elevated, ...
Injection therapies for variceal bleeding disorders of the GI tract. Gastrointest Endosc. 2008;67:313-323. How Can I Tell for Certain Endoscopically, and How Should I Treat it? 11 7. Qureshi W, Adler DG, Davila R, et al. ASGE Guideline: the role of endoscopy in the management of variceal hemorrhage, updated July 2005. Gastrointest Endosc. 2005;62:651-655. 8. Garcia-Tsao G, Sanyal AJ, Grace ND, Carey WD. Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis. Am J Gastroenterol. 8. Garcia-Tsao G, Sanyal AJ, Grace ND, Carey WD. Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis. Am J Gastroenterol. 2007;102:2086-2102. 9. Ninoi T, Nakamura K, Kaminou T, et al. TIPS versus transcatheter sclerotherapy for gastric varices. Am J Roentgenol. 2004;183(2):369-376. 3 QUESTION WHAT ARE THE ESSENTIAL TOOLS FOR REMOVING ESOPHAGOGASTRIC FOREIGN BODIES, AND WHEN SHOULD I APPLY THESE DEVICES? Luo-wei Wang, MD, PhD and Zhao-shen Li, MD ...
Information for patients Mesenteric Angiography Sheffield Vascular Institute Northern General Hospital You have been given this leaflet because you need a procedure known as a Mesenteric Angiogram. This
The diagnosis of upper GI bleeding is assumed when hematemesis is documented. In the absence of hematemesis, an upper source for GI bleeding is likely in the presence of at least two factors among: black stool, age , 50 years, and blood urea nitrogen/creatinine ratio 30 or more.[2] In the absence of these findings, consider a nasogastric aspirate to determine the source of bleeding. If the aspirate is positive, an upper GI bleed is greater than 50%, but not high enough to be certain. If the aspirate is negative, the source of a GI bleed is likely lower. The accuracy of the aspirate is improved by using a chemical occult blood test on stool.[3] ...
Enlarged and abnormal veins which are developed in the esophagus are called as esophageal varices. Serious liver diseases are the major cause of esophageal varices. Esophageal Varices are also known by another medical name which is Oesophageal Varices. Know the causes, symptoms, treatment, diet, pathophysiology of esophageal varices.
Mild tachypnea and decreased pulse pressure may be clues to impending hemodynamic instability.. BUN/Cr ratio , 30 is highly suggestive of upper GI bleeding, as digested and re-absorbed hemoglobin will raise the BUN.. Despite common misperception, insertion of a nasogastric tube will not provoke further esophageal variceal bleeding. While there is no evidence behind use of NG tube and prediction of bleeding location or mortality benefit, there is evidence that supports improvement of visualiztion of bleeding source during endoscopy.. The initial treatment is similar to resuscitation for any hemorrhagic shock, i.e. secure the airway as needed with administration of blood products for active bleeding/failure to improve signs of perfusion after administration of 2 L of crystalloid. Secondary management aims to stop the bleeding:. ...
Learn more about Esophageal Variceal Injection at Grand Strand Medical Center DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your Doctorrevision ...
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The most recent issue of Clinical Gastroenterology & Hepatology investigates the most accurate assessment of patients with upper gastrointestinal hemorrhage.. ...
Why? In prerenal failure like hemorrhagic shock, you have less renal blood flow, you will filter less and GFR will decrease. When GFR decreases, it gives the proximal tubule more time to reabsorb urea. Thus, there is an increase in serum urea ...
Pain management information for pain medicine healthcare professionals in treating and caring for their patients. Clinical Pain Advisor offers news, case studies and more.
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Lyrics to For The Bleeders by Vision Of Disorder: For the Bleeders / Bleed...... For what Ive done. / And Ill never forgive myself for
Esophageal varices are swollen veins in the lining of the lower esophagus near the stomach. Gastric varices are swollen veins in the lining of the stomach.…
Acute upper respiratory tract infection GENERAL REVIEW CLINICAL MANIFESTATIONS Acute upper respiratory tract infections are usually divided into five types: Cold. This syndrome is characterized mainly by obstruction familiar with nasal disc
List of 6 disease causes of Acute upper arm pain on one side, patient stories, diagnostic guides. Diagnostic checklist, medical tests, doctor questions, and related signs or symptoms for Acute upper arm pain on one side.
TY - JOUR. T1 - Dieulafoy of cecum. T2 - A rare cause of a refractory gastrointestinal bleeding in an uncommon location. AU - Saraireh, Hamzeh. AU - Al Hanayneh, Muhannad. AU - Salameh, Habeeb. AU - Parupudi, Sreeram. PY - 2017. Y1 - 2017. UR - UR - U2 - 10.1016/j.dld.2017.05.004. DO - 10.1016/j.dld.2017.05.004. M3 - Article. C2 - 28587750. AN - SCOPUS:85020104947. JO - Digestive and Liver Disease. JF - Digestive and Liver Disease. SN - 1590-8658. ER - ...
Medicines that constrict small blood vessels and reduce blood flow to the portal vein are used to treat sudden (acute) bleeding from enlarged veins (varices) in the digestive tract (variceal bleeding).. Octreotide is the main medicine used in the United States to treat variceal bleeding.. These medicines also may be used along with endoscopic treatment. Adding medicine to endoscopic treatment works better to control bleeding than endoscopic treatment alone.footnote 1. Side effects of these medicines may include:. ...
Learn more about Angiodysplasia of the Colon at Portsmouth Regional Hospital DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
List of causes of Rectal bleeding and Sudden onset of hematochezia, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more.
Surgical or endoscopic treatment of esophageal varices (costs for program #232375) ✔ University Hospital Ulm ✔ Department of General and Abdominal Surgery ✔
Item detail information KETOTOP® has been invented by Amore Pacific Pharm. in 1995 for the patients with Arthritis or Rheumatic Inflammation who has suffered from the side effects of oral medication of Arthritis including gastrointestinal hemorrhage, Edema, rise of blood pressure, and so on. It has 15 patents by Technology of Transdermal Drug Delivery System…
Gastrointestinal hemorrhage. Founding member, keyboardist and singer of the Grateful Dead. 7004100430000000000♠27 years, 181 ... Subarachnoid hemorrhage. Drummer for Malice Mizer. 7004100020000000000♠27 years, 140 days. [56]. ...
An approach to gastrointestinal haemorrhage. „Veterinary Ireland Journa". *↑ a b c d e f g Deborah Silverstein, Kate Hopper: ... a b Samiran Nundy: ECAB Gastrointestinal Hemorrhage. Elsevier Health Sciences, 2014, s. 54-55. ISBN 978-81-312-3944-5. ... Gastrointestinal Bleeding in Cirrhotic Patients with Portal Hypertension. „Hepatology", 2013. *↑ a b c d e f g h i j k l m n o ... Prevention of upper gastrointestinal haemorrhage: current controversies and clinical guidance. „Ther Adv Chronic Dis". 4 (5), s ...
Gastrointestinal *Colitis. *Ileitis. *Dry throat. *Gastrointestinal haemorrhage. *Haemorrhagic diarrhoea. *Inflammatory bowel ... Gastrointestinal[edit]. Isotretinoin may cause non-specific gastrointestinal symptoms including nausea, diarrhea and abdominal ...
Gastrointestinal hemorrhage: clopidogrel 2.0%, aspirin 2.7%. *Intracranial bleeding: clopidogrel 0.4%, aspirin 0.5% ... Hemorrhage - the annual incidence of hemorrhage may be increased by the coadministration of aspirin.[23] ... Naproxen did increase the likelihood of occult gastrointestinal bleeding, as might be the case with other nonsteroidal anti- ...
Intramural gastrointestinal hemorrhage. J Clin Gastroenterol. 1986 Jun; 8(3 Pt 2):389-94. Roberts I, Chopra S, Warshaw AL. ...
... is a rare cause of hemorrhage in the gastrointestinal tract. It is caused by a bleeding source in the ... Sandblom P (1970). "Gastrointestinal hemorrhage through the pancreatic duct". Ann. Surg. 171: 61-6. doi:10.1097/00000658- ... Patients with hemosuccus may develop symptoms of gastrointestinal hemorrhage, such as blood in the stools, maroon stools, or ... Rösch W, Schaffner O, Frühmorgen P, Koch H (1977). "Massive gastrointestinal hemorrhage into the pancreatic duct - diagnosed by ...
It can present in any part of the gastrointestinal tract. It can cause gastric hemorrhage but is relatively uncommon. It is ... an underrecognized cause of upper gastrointestinal hemorrhage in patients with advanced liver disease". Dig. Dis. Sci. 52 (3): ... Lee Y, Walmsley R, Leong R, Sung J (2003). "Dieulafoy's Lesion". Gastrointestinal Endoscopy. 58 (2): 236-243. doi:10.1067/mge. ... Navuluri, Rakesh; Kang, Lisa; Patel, Jay; Van Ha, Thuong (2012-09-01). "Acute Lower Gastrointestinal Bleeding". Seminars in ...
A rare cause of lower gastrointestinal hemorrhage]". Gastroenterologie Clinique et Biologique. 22 (11): 958-960. ISSN 0399-8320 ... Large intestine Kleinman, Ronald E. (1998). Atlas of Pediatric Gastrointestinal Disease. PMPH-USA. p. 209. ISBN 978-1-55009-038 ...
Bruce Eisner, 64, American writer, gastrointestinal hemorrhage. Lloyd Hartman Elliott, 94, American educator, President of ...
Baum S, Nusbaum M, Tumen HJ (1970). "The control of gastrointestinal hemorrhage by selective mesenteric infusion of pitressin ... It has off-label uses and is used in the treatment of vasodilatory shock, gastrointestinal bleeding, ventricular tachycardia ...
... lower gastrointestinal hemorrhage, gallbladder disease and morbid obesity. For nearly 30 years, Dr. Leitman has served as a ... "Evaluation and Management of Massive Lower Gastrointestinal Hemorrhage". Annals of Surgery. 209 (2): 175-180. doi:10.1097/ ... Gastrointestinal Surgery. 10 (10): 1397-1399. doi:10.1016/j.gassur.2006.09.007. PMID 17175460. Avgerinos D, Leitman IM, ...
Some include gastrointestinal hemorrhage as a fourth criterion; this occurs in 33% of cases, sometimes, but not necessarily ... HSP involves the skin and connective tissues, scrotum, joints, gastrointestinal tract and kidneys. The genetic basis remains ... Schönlein associated the purpura and arthritis, and Henoch the purpura and gastrointestinal involvement. The English physician ... digestive tract hemorrhage (not due to intussussception), hematuria and age less than 20. The presence of three or more of ...
... gastrointestinal hemorrhage. Sultan Ahmed, 74, Bangladeshi Navy admiral. Vivian Anderson, 91, American baseball player ( ... Kamil Sönmez, 65, Turkish singer and actor, State Artist, cerebral hemorrhage. Dennis Stevens, 79, English footballer (Bolton ...
The cause of his death was gastrointestinal hemorrhage. Ganz, Earl (February 5, 2008). "Brinig, Myron (1896-1991)". Chicago: ...
British Society of Gastroenterology Endoscopy Committee (2002). "Non-variceal upper gastrointestinal haemorrhage: guidelines". ... "Risk assessment after acute upper gastrointestinal haemorrhage". Gut. 38 (3): 316-21. doi:10.1136/gut.38.3.316. PMC 1383057. ... 1999). "Validation of the Rockall risk scoring system in upper gastrointestinal bleeding". Gut. 44 (3): 331-5. doi:10.1136/gut. ... Rockall risk scoring system attempts to identify patients at risk of adverse outcome following acute upper gastrointestinal ...
"Provocative angiography in patients with gastrointestinal hemorrhage of obscure origin". The American Journal of ... The treatment of a gastrointestinal bleed can range anywhere from monitoring an asymptomatic bleed to supporting and ... Speir, Ethan J.; Ermentrout, R. Mitchell; Martin, Jonathan G. (December 2017). "Management of Acute Lower Gastrointestinal ... ISBN 978-0-19-157556-3. Uberoi R (2009). "14 Gastro-intestinal intervention". Interventional radiology. Oxford New York: Oxford ...
Rothe CF, CF; Maass-Moreno R (Mar 1994). "Gastrointestinal hemodynamics during compensation for hemorrhage and measurement of ... or to measure haemodynamic changes during haemorrhage. Mean systemic pressure increases if there is an increase in blood volume ...
Circulating blood volume and regional hemodynamics in acute gastrointestinal hemorrhage]". Sovetskaia Meditsina (2): 38-41. ...
Wrigley died on April 12, 1977, of a gastrointestinal hemorrhage; stricken at his resort home in Lake Geneva, Wisconsin, he ...
He died of an gastrointestinal hemorrhage at the age of 80. Fidel Castro is said to have received the news of his father's ...
Bob Weston, 64, British guitarist and songwriter (Fleetwood Mac), gastrointestinal hemorrhage. (body found on this date) Harold ...
... Superior rectal artery Inferior rectal artery "Lower Gastrointestinal Hemorrhage". Diagnostic Imaging: ...
Necropsy of animals who have died from spoonwood poisoning show gastrointestinal hemorrhage. The Cherokee use the plant as an ... such as toxic honey that may produce neurotoxic and gastrointestinal symptoms in humans eating more than a modest amount. ...
Mucosal erosion and hemorrhage is seen in the upper gastrointestinal (GI) tract. Renal dysfunction is common and related to ... The gastrointestinal tract sustains the brunt of toxicity, resulting in fatal hemorrhages. Renal toxicity is a result of its ... Ingesting cantharidin can initially cause severe damage to the lining of the gastrointestinal and urinary tracts, and may also ... and pericardial and subendocardial hemorrhages. Bertaux, B.; Prost, C.; Heslan, M.; Dubertret, L. (1988). "Cantharide ...
The most common type of bleeding due to abciximab is gastrointestinal hemorrhage. Thrombocytopenia is a rare but known serious ...
High treatment doses are contraindicated in acute bleedings such as cerebral or gastrointestinal haemorrhage. LMWHs are more ...
"Effect of weekend hospital admission on gastrointestinal hemorrhage outcomes". Dig Dis Sci. 55 (6): 1658-66. doi:10.1007/s10620 ... "Weekend versus weekday admission and mortality from gastrointestinal hemorrhage caused by peptic ulcer disease". Clin ... "Association between weekend admission and mortality for upper gastrointestinal hemorrhage: an observational study and meta- ... "Outcomes of weekend admissions for upper gastrointestinal hemorrhage: a nationwide analysis". Clin Gastroenterol Hepatol. 7 (3 ...
Findings include hemorrhages in the kidneys, liver, lungs, and gastrointestinal tract. Treatment of affected puppies is ... CHV also causes a necrotizing vasculitis that results in hemorrhage around the blood vessels. Bruising of the belly may occur. ...
... appears to have similar efficacy to 100 milligrams daily and has fewer gastrointestinal side effects.[15] However, low-dose ... Splinter hemorrhage. *Spotted lunulae. *Staining of the nail plate. *Stippled nails. *Subungual hematoma ...
The "Swollen baby syndrome" occurs in newborns, infants and toddlers with pitting edema, abdominal distension and hemorrhage.[6 ... Infection typically occurs by direct or indirect exposure to animal excrement through the respiratory or gastrointestinal ... Less commonly there may be bleeding from the mouth or gastrointestinal tract.[1] The risk of death once infected is about one ...
... gastrointestinal involvement, chronic kidney disease, and the absence of ears, nose, and throat symptoms.[7] ... such as diffuse alveolar hemorrhage, glomerulonephritis (as seen in pulmonary-renal syndrome), or mesenteric ischemia, are ... pulmonary haemorrhage causing haemoptysis, and rarely bronchial stenosis. ...
April 2011). "[Abdominal and gastrointestinal symptoms of Dengue fever. Analysis of a cohort of 8559 patients]". Gastroenterol ... an emerging pathogen responsible for hemorrhage fever in the Middle East]". Med Trop (Mars) (French). 63 (3), s. 296-9. PMID ... Organ EL, Rubin DH (1998). "Pathogenesis of reovirus gastrointestinal and hepatobiliary disease". Curr. Top. Microbiol. Immunol ... "Gastrointestinal and hepatic manifestations of tickborne diseases in the United States". Clin. Infect. Dis. 34 (9), s. 1206-12 ...
Autopsy of infant showing abdominal distension, intestinal necrosis and hemorrhage, and peritonitis due to perforation. ... Gastrointestinal tract disorders. Hidden categories: *Infobox medical condition (new). *All Wikipedia articles needing ...
In children, gastrointestinal symptoms such as vomiting, diarrhea, and abdominal pain,[21][22] (may be severe in children with ... Bleeding from the ears and petechial hemorrhages in the skin also occurred."[193] The majority of deaths were from bacterial ... One observer wrote, "One of the most striking of the complications was hemorrhage from mucous membranes, especially from the ... pneumonia, a secondary infection caused by influenza, but the virus also killed people directly, causing massive hemorrhages ...
Mechanical bowel disorders such as bowel obstruction, gastrointestinal haemorrhage or bowel perforation ... the drug is indicated in upper gastrointestinal motility disorders and to prevent gastrointestinal symptoms associated with the ... Kapoor, A.K.; Raju, S.M. (2013). "7.2 Gastrointestinal Drugs". Illustrated Medical Pharmacology. JP Medical Ltd. p. 677. ISBN ... Poor gastrointestinal function, nausea and vomiting is a major problem for people with Parkinson's disease because most ...
... has a number of adverse effects including headache, fatigue, gastrointestinal problems such as nausea, vomiting, ... there is a case report of acute respiratory failure from diffuse alveolar hemorrhage in a people taking nilotinib.[8] ... 2011 that it was discontinuing a phase III trial of nilotinib as the first-line treatment of gastrointestinal stromal tumor ( ... "Acute respiratory failure from nilotinib-associated diffuse alveolar hemorrhage". Leukemia & Lymphoma. 55 (10): 1-6. doi: ...
Due to the formation of diptheroid plaques on the eyelids and the mucosae of the respiratory system and gastrointestinal system ... Diagnosis can usually be made based on the clinical signs and postmortem findings: On post-mortem, petechial haemorrhage in the ... Viral replication causes an increase in vascular permeability, which leads to the lesions and hemorrhaging of organs, namely ...
Subconjunctival hemorrhage. *torso *Hemothorax. *Hemopericardium. *Pulmonary hematoma. *abdomen *Gastrointestinal bleeding. * ...
During treatment serious bleeding events (e.g., intracranial hemorrhage, any life-threatening bleeding event, any bleeding ... Recent (within 6 weeks) gastrointestinal bleeding. *Recent administration (within 3 days) of thrombolytic therapy ...
Edema of the gastrointestinal mucosa typically leads to severe abdominal pain; in the upper respiratory tract, it can be life- ... although effects of its deficiency on the development of hemorrhage and thrombosis appear to be limited. ... It is particularly difficult to diagnose HAE in patients whose episodes are confined to the gastrointestinal tract. Besides a ...
... bypassing the gastrointestinal tract. This is the only convenient and efficacious route of administration (apart from ... The lingual artery is a good place to stop severe hemorrhage from the tongue. ...
Shapiro M, Blanco DA (2017). "Neurological Complications of Gastrointestinal Disease". Semin Pediatr Neurol (Review). 24 (1): ... who developed right-sided hemiparesis after a hemorrhage in the right brain.[17] ... "Ipsilateral hemiparesis after putaminal hemorrhage due to uncrossed pyramidal tract" (PDF). Neurology. 54 (9): 1801-1805. doi ...
A stress ulcer is a single or multiple mucosal defect which can become complicated by upper gastrointestinal bleeding during ... whereas the latter may erode into a submucosal vessel and produce frank hemorrhage. The characteristic lesions may be multiple ... Stress ulcer is suspected when there is upper gastrointestinal bleeding in the appropriate clinical setting, for example, when ... Stress ulcer can be diagnosed after the initial management of gastrointestinal bleeding, the diagnosis can be confirmed by ...
... at 11 she began having hemorrhages from the upper gastrointestinal tract, and she died of a massive hemorrhage at 14.[citation ... According to this hypothesis, Emilia's fatal hemorrhage was caused by ruptured esophageal varices, secondary to liver cirrhosis ... and gastrointestinal bleeding. His death would be explained by liver failure and respiratory failure due to chronic obstructive ...
This, and the unpleasant course of the disease - which includes voluminous "rice-water" diarrhea, the hemorrhaging of liquids ... Gastrointestinal tract disorders. *Intestinal infectious diseases. *Neglected tropical diseases. *Tropical diseases. *Epidemics ...
Gastrointestinal[edit]. Carcinoid tumors are apudomas that arise from the enterochromaffin cells throughout the gut. Over two- ... Occasionally, haemorrhage or the effects of tumor bulk are the presenting symptoms. The most common originating sites of ... Part 1: The gastrointestinal tract. A statement from a Canadian National Carcinoid Expert Group". Curr Oncol. 13 (2): 67-76. ... thirds of carcinoid tumors are found in the gastrointestinal tract.[3]. Lung[edit]. Main article: Typical lung carcinoid tumor ...
Barotrauma: an inability to equalize pressure in internal air spaces such as the middle ear or gastrointestinal tract, or more ... wherein rapid depressurization causes a character to hemorrhage profusely before exploding in a similar fashion. ...
... but cause less gastrointestinal hemorrhage in particular.[12] After widespread adoption of the COX-2 inhibitors, it was ...
As infection (specifically spontaneous bacterial peritonitis) and gastrointestinal hemorrhage are both complications in ... These include bacterial infection, acute alcoholic hepatitis, or bleeding in the upper gastrointestinal tract. Spontaneous ... bleeding in the gastrointestinal tract, or overuse of diuretic medications. HRS is a relatively common complication of ... a hormone involved in regulation of blood vessel tone in the gastrointestinal tract. The medications are respectively systemic ...
... and cerebral hemorrhage.[59][96] Methamphetamine is known to have a high potential for abuse and addiction.[59][96] ... Gastrointestinal tract/. metabolism (A). *stomach acid *Antacids. *H2 antagonists. *Proton pump inhibitors ...
Most people with the late stage form died within 8 to 12 days of illness.[33] Amony the few who recovered, the hemorrhages ... Hemorrhagic smallpox was a severe form accompanied by extensive bleeding into the skin, mucous membranes, and gastrointestinal ... The fever remained elevated throughout the disease course.[3] The hemorrhages appeared in the early eruptive period, and the ... Early-onset hemorrhagic smallpox also produced petechiae, and hemorrhages in the spleen, kidney, serosa, muscle, and, rarely, ...
Sleisenger, Marvin (2006). Sleisenger and Fordtran's Gastrointestinal and Liver Disease. Philadelphia: W.B. Saunders Company. ... progressing into formation of fibrous wall and endothelial lining around haemorrhage of phlebectatic type. Fibrosis, cirrhosis ...
Misoprostol taken vaginally tends to have fewer gastrointestinal side effects. Nonsteroidal antiinflammatory medications such ... had hemorrhage requiring a blood transfusion. It is often advised to contact a health care provider if there is bleeding to ...
In the gastrointestinal tract, increased permeability of the mucosa alters the microflora, causing mucosal bleeding and ... Reactions of mice with primary subcutaneous tumors to injection of a hemorrhage-producing bacterial polysaccharide". Journal of ... and H2 antagonist are useful in a person with risk factors of developing upper gastrointestinal bleeding (UGIB) such as on ...
Hemorrhaging of the eye, particularly the retinal and conjunctiva regions, is another common sign associated with SAE of ... death resulted due to gastrointestinal bleeding, septic shock, and large abscesses.[18] ... This is supported by the retinal hemorrhaging seen in some patients, and is possibly responsible for the neurologic SAE ... These include hemorrhage of the conjunctiva and retina, heamaturia, and other encephalopathies that are all attributed to the ...
Zhang S, Wang L, Liu M, Wu B (2010). "Tirilazad for aneurysmal subarachnoid haemorrhage". The Cochrane Database of Systematic ... reducing acids can have antinutrient effects by binding to dietary minerals such as iron and zinc in the gastrointestinal tract ... but human trials demonstrated no effect on mortality or other outcomes in subarachnoid haemorrhage[24] and worsened results in ...
Sources of gastrointestinal haemorrhage.. Br Med J 1969; 2 doi: (Published 03 May 1969) ...
Gastrointestinal haemorrhage complicating Wegeners granulomatosis. Br Med J (Clin Res Ed) 1985; 291 :865 ... Gastrointestinal haemorrhage complicating Wegeners granulomatosis.. Br Med J (Clin Res Ed) 1985; 291 doi: ...
Compare risks and benefits of common medications used for Gastrointestinal Hemorrhage. Find the most popular drugs, view ... Topics under Gastrointestinal Hemorrhage. *Upper GI Hemorrhage (12 drugs). Learn more about Gastrointestinal Hemorrhage. ... Drugs Used to Treat Gastrointestinal Hemorrhage. The following list of medications are in some way related to, or used in the ... Looking for answers? Ask a question or go join the gastrointestinal hemorrhage support group to connect with others who have ...
During a 12 month period we successfully treated 10 patients who had massive gastrointestinal hemorrhage with selective ... using Gelfoam plugs or autologous clot is an alternative or adjunct to the conventional management of gastrointestinal ... Selective embolization for control of gastrointestinal hemorrhage Am J Surg. 1979 Dec;138(6):840-4. doi: 10.1016/0002-9610(79) ... During a 12 month period we successfully treated 10 patients who had massive gastrointestinal hemorrhage with selective ...
Lower gastrointestinal tract bleeding. References. *↑ National Library of Medicine. Gastrointestinal Hemorrhage. Retrieved on ... Gastrointestinal hemorrhage (GI bleeding) is defined as "bleeding in any segment of the gastrointestinal tract from esophagus ... Cuellar RE, Gavaler JS, Alexander JA, et al (1990). "Gastrointestinal tract hemorrhage. The value of a nasogastric aspirate". ... Lower gastrointestinal tract bleeding. Prognosis. Upper gastrointestinal tract bleeding. The AIMS65 may be better a clinical ...
Background Upper gastrointestinal hemorrhage (UGIH) is common and carries substantial mortality requiring frequent ... Variation in outcome after acute upper gastrointestinal haemorrhage. The national audit of acute upper gastrointestinal ... The hematocrit level in upper gastrointestinal hemorrhage: safety of endoscopy and outcomes. Am J Med. 2011;124:970-976. ... Upper gastrointestinal hemorrhage (UGIH) is common and carries substantial mortality requiring frequent hospitalizations. ...
Gastrointestinal Hemorrhage Due to Splenic Artery Aneurysm Pancreatic Duct Fistula in Chronic Pancreatitis. Christian Seiler1,2 ... Gastrointestinal hemorrhage due to splenic artery aneurysm pancreatic duct fistula in chronic pancreatitis is rare. It is, ... The diagnosis is usually difficult to establish and it may take repeated admissions for intermittent gastrointestinal bleeding ...
... Olga Grechukhina,1 ... This case report describes a postmenopausal patient with ARM and rectovaginal hemorrhage. Case. An 86-year-old, gravida 11, ...
"Gastrointestinal Hemorrhage" by people in Harvard Catalyst Profiles by year, and whether "Gastrointestinal Hemorrhage" was a ... "Gastrointestinal Hemorrhage" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH ( ... Below are the most recent publications written about "Gastrointestinal Hemorrhage" by people in Profiles. ... Below are MeSH descriptors whose meaning is more general than "Gastrointestinal Hemorrhage". ...
Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial.. ... We hypothesized that early intervention in patients with lower gastrointestinal bleeding (LGIB) would improve outcomes and ...
BLINDNESS FOLLOWING MASSIVE GASTROINTESTINAL HEMORRHAGE1 ALF T. HAEREM, M.D., F.A.C.P. ... BLINDNESS FOLLOWING MASSIVE GASTROINTESTINAL HEMORRHAGE1. Ann Intern Med. 1952;36:883-888. doi: 10.7326/0003-4819-36-3-883 ... Few physicians encounter blindness as a complication of severe hemorrhage. First-hand experience with this dramatic and ... Review: Aspirin for CVD primary prevention increases gastrointestinal bleeding and hemorrhagic stroke Annals of Internal ...
Amyloidosis of the gastrointestinal tract is usually a systemic disease. Localized gastrointestinal amyloidosis without ... we report the case of a patient with localized gastrointestinal amyloidosis who presented with both gastrointestinal bleeding ... Amyloidosis of the gastrointestinal (GI) tract is usually systemic. Localized GI amyloidosis without evidence of the ... Amyloidosis of the gastrointestinal tract and the liver: Clinical context, diagnosis and management. Eur J Gastroenterol ...
Risk of upper gastrointestinal hemorrhage in warfarin users treated with nonselective NSAIDs or COX-2 inhibitors.. Battistella ... Little is known about the risk of upper gastrointestinal (GI) hemorrhage during the concomitant use of warfarin and selective ... Of those, 361 (0.3%) were admitted to the hospital with upper GI hemorrhage. After adjusting for other potential confounders, ... Case patients were those admitted to the hospital with upper GI hemorrhage while taking warfarin. We compared their ...
Recurrent bacteraemia following variceal haemorrhage Rooshi Nathwani, Benjamin H Mullish, David Kockerling, Nikil Rajani, Ameet ... UK guidelines on the management of variceal haemorrhage in cirrhotic patients Dhiraj Tripathi, Adrian J Stanley, Peter C Hayes ...
... hemorrhage, only reported a handful of times in the literature. Herein, we present a case of a 49-year-old woman with ... the intervention was not timely enough for the patient to survive the hemorrhage. We outline several clinical and imaging ... Splenic arteriogastric fistula is a rare cause of upper gastrointestinal (GI) ... A Rare Cause of Massive Upper Gastrointestinal Hemorrhage" written by Elias J. Dayoub, Kyung J. Cho, published by Open Journal ...
Microcatheter embolization of lower gastrointestinal hemorrhage : an old idea whose time has come * * FUNAKI B. ... Pseudoaneurysm embolization and vasopressin infusion for lower gastrointestinal bleeding due to recurrence of urinary bladder ...
Unusual Case of Massive Gastrointestinal Hemorrhage You will receive an email whenever this article is corrected, updated, or ... Unusual Case of Massive Gastrointestinal Hemorrhage. The Journal of the American Osteopathic Association, March 2012, Vol. 112 ... Woerndle R. Unusual Case of Massive Gastrointestinal Hemorrhage. J Am Osteopath Assoc 2012;112(3):142. doi: 10.7556/jaoa. ... Massive lower gastrointestinal bleeding after rejection of pancreatic transplants. Nat Clin Pract Gastroenterol Hepatol. 2005;2 ...
JIA, Zhongzhi et al. Abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhage ... Angiography plays an important role in both diagnosis and treatment of gastrointestinal (GI) bleeding; however, the sensitivity ...
2015 Gastrointestinal Hemorrhage Global Clinical Trials Review, H1, 2015 Summary GlobalDatas clinical trial report, ... Proportion of Gastrointestinal Hemorrhage to Gastrointestinal Clinical Trials*Table Proportion of Gastrointestinal Hemorrhage ... Proportion of Gastrointestinal Hemorrhage to Gastrointestinal Clinical Trials*Table Proportion of Gastrointestinal Hemorrhage ... Table Gastrointestinal Hemorrhage Therapeutics, Global, Clinical Trials by Phase (%), 2015*. *Table Gastrointestinal Hemorrhage ...
Lower gastrointestinal tract bleeding is a condition in which there is bleeding from the lower part of the digestive system, ... Lower Gastrointestinal Hemorrhage. What is lower gastrointestinal hemorrhage?. Lower gastrointestinal tract bleeding is a ... Massive bleeding from the lower gastrointestinal tract is a medical emergency. Elderly people and people with a history of ... There are many possible causes for lower gastrointestinal tract bleeding. Conditions that cause small amounts of bleeding are ...
Upper gastrointestinal hemorrhage is a medical condition in which heavy bleeding occurs in the upper parts of the digestive ... Other names for upper gastrointestinal hemorrhage. What is an upper gastrointestinal hemorrhage?. Upper gastrointestinal ... Upper gastrointestinal hemorrhage is heavy bleeding from the esophagus, the stomach or the upper part of the small intestine. ... The outcome after an upper gastrointestinal bleed depends on the amount of blood loss, and whether the bleeding can be ...
Fatal Upper Gastrointestinal Hemorrhage: A Study of 200 Cases. Donald Berkowitz, M.D., F.A.C.P.; Sol Glassman, M.D.; Charles M ... Fatal Upper Gastrointestinal Hemorrhage: A Study of 200 Cases.. Ann Intern Med. 1964;60:323-324. doi: 10.7326/0003-4819-60-2- ... The clinical and autopsy findings in 200 consecutive cases of fatal upper gastrointestinal hemorrhage have been reviewd. In ... Concomitant use of warfarin and cotrimoxazole or ciprofloxacin increased risk for admission for upper GI hemorrhage Annals of ...
Background: Population rates of upper gastrointestinal (GI) hemorrhage have been observed to increase with the introduction and ... Changes in rates of upper gastrointestinal hemorrhage after the introduction of cyclooxygenase-2 inhibitors in British Columbia ... Changes in rates of upper gastrointestinal hemorrhage after the introduction of cyclooxygenase-2 inhibitors in British Columbia ... Changes in rates of upper gastrointestinal hemorrhage after the introduction of cyclooxygenase-2 inhibitors in British Columbia ...
GASTROINTESTINAL HAEMORRHAGE Causes, Patient Concerns and Latest Treatments and Prednisone Reports and Side Effects. ... Check out the latest treatments for GASTROINTESTINAL HAEMORRHAGE. ➢ GASTROINTESTINAL HAEMORRHAGE treatment research studies ... GASTROINTESTINAL HAEMORRHAGE Symptoms and Causes. Your digestive or gastrointestinal (GI) tract includes the esophagus, stomach ... GASTROINTESTINAL HAEMORRHAGE Clinical Trials and Studies. Treatments might be new drugs or new combinations of drugs, new ...
Acute gastrointestinal (GI) bleeding is a serious and often life-threatening condition. It is vital to differentiate upper GI ( ... Understand the role of radiological imaging modalities and endoscopy prior to endovascular treatment of GI haemorrhage. ... Understand the role of empiric embolisation in the management of GI haemorrhage. ...
There was a correlation between hemorrhage from esophageal varices and schistosomiasis distribution. Variceal bleeding occurred ... Abstract A prospective survey of acute upper gastrointestinal hemorrhage in the major government hospital of Kenya was done ... A Fibreendoscopic Study of Acute Upper Gastrointestinal Hemorrhage in Nairobi, Kenya * David P. Hansen*, Donald S. Daly† ... A prospective survey of acute upper gastrointestinal hemorrhage in the major government hospital of Kenya was done using fibre- ...
If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patients written consent to publication and send them to the editorial office before submitting your response [Patient consent forms] ...
Gastrointestinal Hemorrhage. Cats that vomit blood, pass fresh blood in the feces or have black tarry stools should be ... Pale gums and other signs found in the mouth can offer clues to the source of certain types of gastrointestinal bleeding. ...
Push enteroscopy for recurrent gastrointestinal hemorrhage due to jejunal anastomotic varices: a case report and review of the ... AdultAnastomosis, SurgicalEndoscopy, GastrointestinalGastrointestinal HemorrhageHumansJejunumMaleRecurrenceSuperior Mesenteric ... Massive and recurrent gastrointestinal hemorrhage due to jejunal varices in an afferent loop--diagnosis and management. ... Colostomy-induced varices as a rare cause of gastrointestinal hemorrhage. Report of a case and review of the literature]. ...
What is canine gastrointestinal hemorrhage syndrome? Meaning of canine gastrointestinal hemorrhage syndrome medical term. What ... Looking for online definition of canine gastrointestinal hemorrhage syndrome in the Medical Dictionary? canine gastrointestinal ... Canine gastrointestinal hemorrhage syndrome , definition of canine gastrointestinal hemorrhage syndrome by Medical dictionary ... Related to canine gastrointestinal hemorrhage syndrome: hemorrhagic gastritis canine. [ka´nīn] 1. pertaining to or ...
  • Gastrointestinal hemorrhage (GI bleeding) is defined as "bleeding in any segment of the gastrointestinal tract from esophagus to rectum. (
  • Amyloidosis of the gastrointestinal tract is usually a systemic disease. (
  • Lower gastrointestinal tract bleeding is a condition in which there is bleeding from the lower part of the digestive system, specifically the large bowel, the rectum or the anus. (
  • Massive bleeding from the lower gastrointestinal tract is a medical emergency. (
  • There are many possible causes for lower gastrointestinal tract bleeding. (
  • Receiving early diagnosis and treatment for conditions that can cause bleeding from the bowel may help to prevent some cases of lower gastrointestinal tract bleeding. (
  • Upper gastrointestinal hemorrhage is a medical condition in which heavy bleeding occurs in the upper parts of the digestive tract: the esophagus (tube between the mouth and stomach), the stomach or the small intestine. (
  • While several uremia-specific factors, including platelet dysfunction and impaired platelet-vessel wall interaction ( 7 , 8 ), have been postulated to increase the risk of UGIB and mucosal abnormalities of the gastrointestinal tract, some studies suggest that repeated anticoagulant exposure ( 8 ) and the frequent use of ulcerogenic agents, such as nonsteroidal anti-inflammatory drugs (NSAIDs) ( 1 , 9 ) and antiplatelets ( 10 ), also have important roles. (
  • Acute gastrointestinal hemorrhage, especially in the upper gastrointestinal tract, is the most frequent cause of bleeding after AKI ( 18 ). (
  • For the purpose of arresting hemorrhage from the upper gastrointestinal tract we developed a method of endoscopic local injection of hypertonic saline-epinephrine solution, consisting of 3.6% or 7.1% sodium chloride with 0.005% epinephrine, which was locally injected around the base of the bleeding vessel under endoscopy. (
  • By applying this method, the rate of emergency operation for patients with bleeding from the upper gastrointestinal tract was significantly reduced from 21.7% (15/69) to 0.8% (1/128). (
  • These tumors are derived from the stromal tissue of the gastrointestinal tract and their pathobiology is related to the mutation of the KIT transmembrane receptor, which gains results in thyrosine kinase activity. (
  • Surgical considerations in hemorrhage of the upper part of the gastrointestinal tract. (
  • Gastrointestinal stromal tumors (GISTs) represent the majority of primary nonepithelial neoplasms of the digestive tract, most frequently expressing the KIT protein detected by immunohistochemical staining for the CD117 antigen. (
  • Gastrointestinal (GI) hemorrhage is defined as the loss of blood into the GI tract. (
  • A history of hemoptysis or epistaxis suggests that the GI tract is just a conduit for the swallowed blood and is not the primary site of the hemorrhage. (
  • For example, bleeding can present with clinically significant hematemesis, hematochezia or melena depending on whether the source is from the upper or lower gastrointestinal tract. (
  • Gastrointestinal hemorrhage is bleeding within the gastrointestinal (GI) tract. (
  • The tissue of the gastrointestinal tract may break open (perforate) and cause infection. (
  • Digestive tract Diffuse scleroderma can affect any part of the gastrointestinal tract. (
  • The bleeding may occur in the upper or lower gastrointestinal tract and manifest itself with a variety of symptoms depending on its location. (
  • Gastrointestinal (GI) bleeding refers to any hemorrhage ascribed to the pathologies of the gastrointestinal tract, extending from the mouth to the anal canal. (
  • Hemosuccus pancreaticus is a rare cause of hemorrhage in the gastrointestinal tract. (
  • Most patients who develop bleeding in the gastrointestinal tract have endoscopic procedures done to visualize the bowel in order to find and treat the source of the bleeding. (
  • Upper gastrointestinal endoscopy identified irregular thickened folds associated with mucosal friability and diffuse oozing bleeding throughout the stomach. (
  • Understand the role of radiological imaging modalities and endoscopy prior to endovascular treatment of GI haemorrhage. (
  • 1 ESGE recommends in patients with acute upper gastro-intestinal hemorrhage (UGIH) the use of the Glasgow-Blatchford Score (GBS) for pre-endoscopy risk stratification. (
  • 3 ESGE recommends that following hemodynamic resuscitation, early (≤ 24 hours) upper gastrointestinal (GI) endoscopy should be performed. (
  • GI hemorrhage was diagnosed according to the presence of clinical features and endoscopy. (
  • A 77-year-old man presented with upper gastrointestinal haemorrhage. (
  • In acute upper gastrointestinal bleeding, administration of intravenous erythromycin provides satisfactory endoscopic conditions, without the need for a nasogastric tube and gastric lavage. (
  • Gastric metastasis presenting initially as upper gastrointestinal hemorrhage is also exceedingly rare. (
  • Emergency combined angiographic and endoscopic Neodymium-YAG laser treatment is described in an elderly patient with massive hemorrhage from the afferent limb stump of a Billroth II anastomosis after surgical resection of a gastric carcinoma. (
  • Pharmacological manipulation of gastric juice: thrombelastographic assessment and implications for treatment of gastrointestinal haemorrhage. (
  • The stomach is a common site of origin for GI hemorrhage, with gastric ulcers being the most common cause. (
  • Gastric Lavage in Patients With Gastrointestinal Hemorrhage: Yea or Nay? (
  • 1 One of the unblemished icons of medicine is the placement of a nasogastric or orogastric tube to examine the gastric contents in patients with, or suspected of, upper gastrointestinal hemorrhage 2-4 and, in turn, "determine" whether the patient is bleeding actively, based on the contents of the gastric aspirate. (
  • Does examination of the gastric contents in patients with the diagnosis of active upper gastrointestinal hemorrhage assist in predicting the likelihood of acute bleeding? (
  • Similarly, we examined rates of admission to hospital because of upper GI hemorrhage (International Classification of Diseases, revision 9 [ICD-9] codes 531, 532, 534, 578.0, 578.1 and 578.9) obtained from the Canadian Institute for Heath Information Discharge Abstract Database, which contains a detailed record of all hospital admissions, including diagnostic and procedural information. (
  • WILLIAMS, GERALD A.;BRICK, IRVING B. 1955-01-01 00:00:00 Abstract HEREDITARY hemorrhagic telangiectasia (Rendu-Osler-Weber disease) is a hereditary vascular anomaly characterized pathologically by multiple dilatations of capillaries and venules of the skin and mucous membranes and characterized clinically by recurrent hemorrhage from these telangiectasia, most frequently manifested by epistaxis. (
  • In patients with gastrointestinal hemorrhage, delayed or late scans with Tc-99m labeled red blood cells are readily performed and have prognostic impact when early images are negative. (
  • Nonvariceal upper gastrointestinal bleeding: epidemiology and diagnosis. (
  • Although the results of Yag laser treatment of gastrointestinal bleeding seem promising, endoscopic laser techniques should be improved to optimise the results and to improve the prognosis of life-threatening gastrointestinal bleedings. (
  • Despite the recent improvements in the endoscopic, hemostatic and adjuvant pharmacologic techniques, the reported mortality is still around 5%-10% for peptic ulcer bleeding and about 15%-20% for variceal hemorrhages. (
  • Effective Haemostasis Using Self-expandable Covered Mesh-metal Oesophageal Stents Versus Standard Endoscopic Therapy in the Treatment of Oesophageal Variceal Haemorrhage: A Multicentre, Open, Prospective, Randomised, Controlled Study. (
  • Use of standard medical and endoscopic therapy for the treatment of primary variceal haemorrhage. (
  • Use of standard medical and endoscopic therapy for failure of standard therapy in oesophageal variceal haemorrhage. (
  • The source of hemorrhage is usually not determined by standard endoscopic techniques, and the symptoms of the condition are usually grouped as a cause of obscure overt gastrointestinal hemorrhage. (
  • Gastro-intestinal haemorrhage risks of selective serotonin rec. (
  • Gastro-intestinal haemorrhage risks of selective serotonin receptor antagonist therapy: a new look. (
  • The mortality rates from Acute Variceal Haemorrhage remain significant and first line therapy may fail in 15-25% of patients. (
  • Use of the Self-expanding mesh-metal oesophageal stent (SEMS) as primary therapy for Acute Variceal Haemorrhage. (
  • The usual presentation of hemosuccus is the development of symptoms of upper or lower gastrointestinal bleeding, such as melena (or dark, black tarry stools), maroon stools, or hematochezia, which is frank rectal bleeding. (
  • Epidemiology of acute upper gastrointestinal bleeding. (
  • Variation in outcome after acute upper gastrointestinal haemorrhage. (
  • The national audit of acute upper gastrointestinal haemorrhage. (
  • Epidemiology of hospitalization for acute upper gastrointestinal hemorrhage: a population-based study. (
  • A prospective survey of acute upper gastrointestinal hemorrhage in the major government hospital of Kenya was done using fibre-optic esophagogastroduodenoscopy. (
  • The incidence of acute kidney injury (AKI) as a complication of acute upper gastrointestinal bleeding (AUGIB) is not known. (
  • The studies in this review do not provide useful data regarding outcomes following red blood cell transfusion for acute upper gastrointestinal haemorrhage. (
  • Gastrointestinal stromal tumors. (
  • Gastrointestinal stromal tumors (GIST) are amongst the rarest causes of massive gastrointestinal hemorrhage. (
  • Gastrointestinal stromal tumors of the stomach: a clinicopathologic, immunohistochemical, and molecular genetic study of 1765 cases with long-term follow-up. (
  • A gist of gastrointestinal stromal tumors: A review. (
  • NCCN Task Force report: update on the management of patients with gastrointestinal stromal tumors. (
  • Gastrointestinal stromal tumors: ESMO clinical recommendations for diagnosis, treatment and follow-up. (
  • Gastrointestinal stromal tumors: pathology and prognosis at different sites. (
  • Gastrointestinal stromal tumors--value of CD34 antigen in their identification and separation from true leiomyomas and schwannomas. (
  • Severe periodontal disease, foreign bodies, oral trauma, and bleeding tumors can result in hemorrhage. (
  • Foreign bodies, tumors, and inflammation of the esophagus secondary to acid reflux are disorders that may lead to esophageal hemorrhage. (
  • It is the least frequent cause of upper gastrointestinal bleeding (1/1500) and is most often caused by chronic pancreatitis, pancreatic pseudocysts, or pancreatic tumors. (
  • Upper gastrointestinal hemorrhage (UGIH) is common and carries substantial mortality requiring frequent hospitalizations. (
  • Gastrointestinal bleeding (GIB) has been reported to be more common in patients with chronic renal failure and end-stage renal disease requiring hemodialysis with higher mortality than in the general population. (
  • Our study was designed to investigate the relationship between GI hemorrhage and the mortality of acute ischemic stroke, assessing the influence of cerebrovascular risk factors, brain herniation and oral anticoagulation on the onset of GI hemorrhage. (
  • The identified risk factors for the occurrence of GI hemorrhage help to elucidate their respective roles in the mortality of acute ischemic stroke. (
  • Kaplan-Meier was used to assess the influence of GI hemorrhage on the age of mortality of acute ischemic stroke. (
  • GI hemorrhage was associated with 10.98-fold risk for mortality of acute ischemic stroke (P = 0.00). (
  • There was an interaction between GI hemorrhage and brain herniation and increased 26.91-fold risk for the mortality after acute ischemic stroke (P = 0.00). (
  • GI hemorrhage itself increases risk for mortality of acute ischemic stroke. (
  • BACKGROUND: Upper gastrointestinal haemorrhage affects 50 to 150 per 100,000 adults per year and has a high mortality. (
  • Gastrointestinal hemorrhage is frequently observed in this population and associated with high mortality and morbidity. (
  • Phytolacca americana, ( pokeweed ) Pokeweed, ingredient of "poke sallet" is also toxic, especially to children Poke weed causes gastrointestinal upset and even hemorrhaging [] Symptoms may include gastroenteritis, delirium, refractory seizures , and coma. (
  • Approximately 35%-40% of geriatric patients seek medical care for gastrointestinal symptoms at least once a year. (
  • Although gastrointestinal symptoms including vomiting, diarrhea, and abdominal pain are not uncommon in KD patients, KD with gastrointestinal bleeding is quite rare. (
  • Pediatricians should be aware of the risk of gastrointestinal bleeding in patients with KD, especially in those with prominent abdominal symptoms. (
  • Patients with hemosuccus may develop symptoms of gastrointestinal hemorrhage, such as blood in the stools, maroon stools, or melena, which is a dark, tarry stool caused by digestion of red blood cells. (
  • Few physicians encounter blindness as a complication of severe hemorrhage. (
  • There have been occasional reports in literature of patients with enteric fever presenting with severe haemorrhage and very rarely both haemorrhage and shock. (
  • Here, we report cases of two siblings, both of them suffering from enteric fever simultaneously, presenting with severe multiple site haemorrhage, shock and with severe thrombocytopenia. (
  • Acute severe hemorrhage, however, is a potentially life-threatening problem, and prompt evaluation and treatment are critical. (
  • Hemorrhage was severe as indicated by a mean blood transfusion requirement of 9.4 units. (
  • Application of aggressive angiographic techniques increases the diagnostic yield of angiography in acute severe lower gastrointestinal hemorrhage while exposing the patient to modest increased procedure-related risks which can be accepted in selected patients. (
  • Hemorrhage: Severe and sometimes fatal hemorrhage, including gastrointestinal (GI) hemorrhage, has been reported in the patients who have received ZALTRAP in combination with FOLFIRI. (
  • Do not administer ZALTRAP to patients with severe hemorrhage. (
  • Hemorrhage: CYRAMZA increased the risk of hemorrhage and gastrointestinal hemorrhage, including severe and sometimes fatal hemorrhagic events. (
  • The clinical and autopsy findings in 200 consecutive cases of fatal upper gastrointestinal hemorrhage have been reviewd. (
  • In general, the etiologies of the hemorrhage were similar to those generally seen in clinical practices, that is, peptic ulceration of the stomach or duodenum and esophageal varices. (
  • 8 ESGE recommends that for patients with clinical evidence of recurrent peptic ulcer hemorrhage, use of a cap-mounted clip should be considered. (
  • Klinische und computerunterstützte Diagnose bei oberer Gastrointestinalblutung: Anamnese und klinischer Befund [Clinical and computer-verified diagnosis in upper gastrointestinal hemorrhage. (
  • The clinical signs of GI hemorrhage are not limited to the appearance of the feces. (
  • The purpose of this report was to compare the frequency of diagnoses for gastrointestinal hemorrhage using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) versus International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes. (
  • To our knowledge, this is the first study to show the differences in the diagnostic performance of computer tomography angiography according to the clinical severity of gastrointestinal hemorrhage. (
  • We report a case of a patient with GI amyloidosis involving the stomach and small intestine who presented with protein-losing enteropathy and a massive recurrent and fatal upper gastrointestinal bleed. (
  • We report a case of recurrent gastrointestinal bleeding caused by jejunal anastomotic varices which were secondary to superior mesenteric vein occlusion following an abdominal gunshot wound. (
  • 10 ESGE recommends that in patients who require ongoing anticoagulation therapy following acute NVUGIH (e.g., peptic ulcer hemorrhage), anticoagulation should be resumed as soon as the bleeding has been controlled, prefer-ably within or soon after 7 days of the bleeding event, based on thromboembolic risk. (
  • Upper gastrointestinal hemorrhage is heavy bleeding from the esophagus, the stomach or the upper part of the small intestine. (
  • It is divided into upper GI hemorrhage (esophagus and stomach) and lower GI hemorrhage (small and large intestine). (
  • However, few reports have addressed the effect of AKI, especially temporary dialysis-requiring AKI, on the long-term risk of gastrointestinal hemorrhage. (
  • Gastrointestinal Perforation: CYRAMZA can increase the risk of gastrointestinal perforation, a potentially fatal event. (
  • UGIH was identified in hospitalizations with a principle ICD-9-CM diagnosis of UGIH or secondary diagnosis of UGIH with a principal diagnosis of hematemesis, blood in stool, or gastrointestinal bleeding. (
  • Odds ratios (ORs) for the risk of hospitalization for upper GI hemorrhage while concomitantly using warfarin and celecoxib, rofecoxib, or nonselective NSAIDs were determined. (
  • Patients taking warfarin concomitantly with selective COX-2 inhibitors have an increased risk of hospitalization for upper GI hemorrhage. (
  • Upper gastrointestinal hemorrhage treatment consists of hospitalization, blood or fluid replacement, insertion of a tube through the nose into the stomach (nasogastric or NG tube) and ice water or saline flushes of the stomach via the NG tube until the fluid returns clear. (
  • Also, gastrointestinal hemorrhage is one of the main causes of hospitalization among geriatric patients. (
  • The self-expandable metal stent has been described in case series as having a very high efficacy at control of haemorrhage from oesophageal varices when used as rescue therapy. (
  • Neodymium-Yag laser treatment in 130 patients with upper gastrointestinal bleeding, including spurting arterial bleeding, active oozing or fresh stigmata of bleeding (fresh clot or non-bleeding vessel), permitted overall initial haemostasis in 95% of the patients. (
  • Hemorrhage may be arterial, venous, or capillary. (
  • Should the arterial wall rupture, the pseudoaneurysm will hemorrhage into the pancreatic duct. (
  • The incidence of short-term acute gastrointestinal bleeding in hospital stay varies widely in patients with AKI, ranging from 13.4% to 26% ( 18 , 19 ). (
  • The impairment of formation and maintenance of a formed fibrin clot contributes to the prolonged bleeding and high incidence of rebleeding in upper gastrointestinal haemorrhage. (
  • Irwin J, Ferguson R, Weilert F, Smith A. Incidence of upper gastrointestinal haemorrhage in Maori and New Zealand European ethnic groups, 2001-2010. (
  • The incidence and natural course of hemorrhage are affected by antiplatelet and anticoagulant medications. (
  • Hemorrhage from the nasal cavity - called "epistaxis" - can also result in hematemesis and melena if the amount of blood swallowed is significant. (
  • 2. A variety of haemorrhagic and neurological complications were commoner in HHT than matched controls including stroke (odds ratio (OR) 1.81) steroid side effects , cerebral abscess (OR 30), epistaxis (OR 11.6) and gastrointestinal haemorrhage (OR 6.08). (
  • It then compares the normal abdominal cavity to one that has a massive upper gastrointestinal bleeding resulting from erosion of multiple ulcers in the duodenum and stomach lining. (
  • Transcatheter embolization using Gelfoam plugs or autologous clot is an alternative or adjunct to the conventional management of gastrointestinal hemorrhage. (
  • This may also be used to treat hemosuccus, as embolization of the end vessel may terminate the hemorrhage. (
  • Conclusion: AF, oral anticoagulant use, brain herniation and male sex increase GI hemorrhage risk, while hyperlipidemia reduces risk. (
  • The condition was probably first reported by Sutton,1 in 1864, as internal hemorrhage and telangiectasia of the skin. (
  • concealed hemorrhage internal hemorrhage . (
  • internal hemorrhage that in which the extravasated blood remains within the body. (
  • 6 patients had upper gastrointestinal hemorrhage and 4 had bleeding from the colon. (
  • Hemorrhage was controlled by selective catheterization of the bleeding vessel, followed by injection of Gelfoam pledgets. (
  • The diagnosis is usually difficult to establish and it may take repeated admissions for intermittent gastrointestinal bleeding until the real source is recognized. (
  • We hypothesized that early intervention in patients with lower gastrointestinal bleeding (LGIB) would improve outcomes and therefore conducted a prospective randomized study comparing urgent colonoscopy to standard care. (
  • Atypical etiology of massive gastrointestinal bleeding: arterio-enteric fistula following enteric drained pancreas transplant. (
  • Massive lower gastrointestinal bleeding after rejection of pancreatic transplants. (
  • The outcome after an upper gastrointestinal bleed depends on the amount of blood loss, and whether the bleeding can be controlled. (
  • Etiology of Gastrointestinal Bleeding in Patients on Dual Antiplatelet Therapy. (
  • 1 , 2 Although COX-2 inhibitors have been found to be associated with a lower risk of significant adverse gastrointestinal events than have traditional nonselective NSAIDs at the level of the individual patient, 3 , 4 recent evidence suggests that the market expansion created by COX-2 inhibitors may increase rates of hospital admissions because of upper gastrointestinal (GI) bleeding at the population level. (
  • Acute gastrointestinal (GI) bleeding is a serious and often life-threatening condition. (
  • Pale gums and other signs found in the mouth can offer clues to the source of certain types of gastrointestinal bleeding. (
  • In evaluating gastrointestinal bleeding in patients who have had previous abdominal surgery and mesenteric venous hypertension, small-bowel anastomotic varices and adhesion-related varices should be considered. (
  • Determines the diagnostic accuracy and effects of scintigraphy techniques using radioisotopes, on management of patients with lower gastrointestinal (GI) bleeding. (
  • Background and objectives There are few reports on temporary dialysis-requiring AKI as a risk factor for future upper gastrointestinal bleeding (UGIB). (
  • The risk of upper gastrointestinal bleeding (UGIB) in patients with CKD ( 1 ) or ESRD is reportedly greater than that observed in the general population ( 1 , 2 ). (
  • Tranexamic acid, aprotinin, and sucralfate can all reduce or inhibit clot lysis, but the adverse effects on clot formation may outweigh any potential benefit in the treatment of gastrointestinal bleeding. (
  • In a review of all gastrointestinal bleeding scans over an 8-year period, 73 patients had delayed images (>3 hours) following early negative exams. (
  • Gastrointestinal bleeding (GIB) is more common in acute kidney injury (AKI) patients requiring hemodialysis than in the general population. (
  • Making a definitive diagnosis of GI bleeding involves identifying first the site of the hemorrhage, and then the cause. (
  • Gastrointestinal bleeding may be acute or chronic. (
  • Gastrointestinal (GI) bleeding is a common problem in children and its presentation can vary dramatically depending on the location and source of the bleeding. (
  • While any bleeding can be alarming to patients and their families, the majority of pediatric gastrointestinal bleeding is benign and is self limited. (
  • Gastrointestinal bleeding, however, can potentially present with massive, life threatening hemorrhage requiring immediate evaluation and treatment. (
  • The various etiologies of gastrointestinal bleeding in children along with their specific presentations, diagnostic workups and treatment options should be familiar to health care providers. (
  • What is Gastrointestinal Bleeding? (
  • Bleeding stops spontaneously in 75% of all upper GI and 90% of all lower GI hemorrhages. (
  • A plan of management of acute lower gastrointestinal hemorrhage - many decisions depend on the rate of bleeding, which is difficult to include in an algorithm. (
  • The outcome of gastrointestinal hemorrhage in geriatric patients depends largely on the characteristics of bleeding lesion and comorbidities. (
  • We present the case of a 65-year-old female where repetitive intermittent coronary vasospasm culminated in transmural infarction in the setting of gastrointestinal bleeding. (
  • In this issue of the Archives, Cuellar et al5 attempt to address the usefulness of nasogastric aspiration in predicting those cases where there is a suspicion of active bleeding from an upper gastrointestinal source. (
  • Computed tomography and angiography did not reveal the source of haemorrhage and as such, the diagnosis was delayed, until laparotomy was performed. (
  • To assess the value of recently developed aggressive pharmacologic angiographic techniques for the diagnosis of acute lower gastrointestinal hemorrhage, we reviewed our experience with 63 consecutive patients referred for angiography. (
  • This study compared the diagnostic accuracy of computed tomography (CT) angiography in patients with various severities of gastrointestinal hemorrhage (GIH). (
  • The diagnostic performance of computer tomography angiography in gastrointestinal hemorrhage is generally considered to be good. (
  • SEARCH STRATEGY: We searched the Cochrane Upper Gastrointestinal and Pancreatic Diseases Group Trials Register to February 2008, the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2008, issue 1), MEDLINE (1950 to February 2008), EMBASE (1974 to February 2008), the Systematic Review Initiative database of randomised controlled trials, haematology and gastroenterology conference proceedings, and reference lists of articles. (
  • Cats with hemorrhage originating in the stomach may vomit up blood. (
  • We report two cases of duplications, occurring along the greater curvature of the stomach, both complicated by acute gastrointestinal hemorrhage, and review the findings on various imaging studies. (
  • GI hemorrhage with fulminant shock induced by jejunal gastrointestinal stromal tumor (GIST) coincident with duodenal neuroendocrine carcinoma (NET) + neurofibromatosis (NF) -- case report and review of the literature]. (
  • The case of a 37-year-old female, hospitalized for massive gastrointestinal hemorrhage due to a GIST-type tumor of the small intestine, is presented in this article. (
  • Lower gastrointestinal hemorrhage is caused by lesions in the small intestine (rarely) or large bowel, colon or anorectum. (
  • There was a correlation between hemorrhage from esophageal varices and schistosomiasis distribution. (
  • Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial. (
  • A Sporadic Small Jejunal GIST Presenting with Acute Lower Gastrointestinal Hemorrhage: A Review of the Literature and Management Guidelines. (
  • Lower gastrointestinal hemorrhage is treated with blood or fluid replacement. (
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  • Acute gastrointestinal hemorrhage (GIH) is one of the most common emergencies encountered in emergency departments (EDs), with annual incidences of 40-150/100,000 and 20-27/100,000 people for upper and lower GIH, respectively [ 1 ]. (
  • Functioning paraganglioma and gastrointestinal stromal tumor of the jejunum in three women: syndrome or coincidence. (
  • Effect of the tyrosine kinase inhibitor STI571 in a patient with a metastatic gastrointestinal stromal tumor. (
  • Understand the role of empiric embolisation in the management of GI haemorrhage. (
  • Understand the role of anti-spasmodics, vasodilators, anticoagulants and thrombolytic agents in the evaluation, imaging and management of GI haemorrhage. (
  • Ghosh S. Watts D, Kinnear M. Management of gastrointestinal haemorrhage. (
  • Red cell transfusion for the management of upper gastrointestinal haemorrhage. (
  • Aside from the obvious flow of blood from a wound or body orifice, massive hemorrhage can be detected by other signs, such as restlessness, cold and clammy skin, thirst, increased and thready pulse, rapid and shallow respirations, and a drop in blood pressure. (
  • however massive gastrointestinal hemorrhage, which can have a dramatic effect on a patient's vital sign, is rare. (