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.
A PEPTIC ULCER located in the DUODENUM.
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: https://doi.org/10.4037/ccn1984.4.3.72. 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 Ativan? GASTROINTESTINAL HAEMORRHAGE Causes, Patient Concerns and Latest Treatments and Ativan 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.
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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: http://www.annemergmed.com/webfiles/images/journals/ymem/YMEM_5345.pdf.. 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 - http://www.scopus.com/inward/record.url?scp=85020104947&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=85020104947&partnerID=8YFLogxK. 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 ✔ BookingHealth.com
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…
Intramural gastrointestinal hemorrhage. J Clin Gastroenterol. 1986 Jun; 8(3 Pt 2):389-94. Roberts I, Chopra S, Warshaw AL. ...
The goals in managing a major acute gastrointestinal hemorrhage are to treat hypovolemia by restoring the blood volume to ... Upper Gastrointestinal Tract Hemorrhage". GI/Liver Secrets (4th ed.). Mosby. pp. 355-362. doi:10.1016/B978-0-323-06397-5.00051- ... The source is generally the upper gastrointestinal tract, typically above the suspensory muscle of duodenum. It may be caused ... The source of vomited blood is usually from the upper gastrointestinal tract. This can include the esophagus, stomach, and ...
... 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 ...
He died of a gastrointestinal hemorrhage. He was buried at All Souls, Kensal Green, 4 February 1860. A statue of Todd was ...
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 ...
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 ...
The cause of his death was gastrointestinal hemorrhage. Novels Madonna Without Child (1929) Singermann (1929) Anthony In The ... Deaths from gastrointestinal hemorrhage, American LGBT novelists, American male novelists, 20th-century American novelists, ...
... lower gastrointestinal hemorrhage, gallbladder disease and morbid obesity. For more than 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. S2CID 35380966. Avgerinos D, ...
Watson, Larry C.; Abston, Sally (1976-12-01). "Prevention of upper gastrointestinal hemorrhage in 582 burned children". The ...
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 ...
The treatment of gastrointestinal hemorrhage can range anywhere from monitoring an asymptomatic bleed to supporting and ... "Provocative angiography in patients with gastrointestinal hemorrhage of obscure origin". The American Journal of ... 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 ...
Wallace died of a gastrointestinal hemorrhage on February 14, 1990. She is interred at Hollywood Forever Cemetery.[citation ...
It can present in any part of the gastrointestinal tract. It can cause gastric hemorrhage but is relatively uncommon. It is ... Dieulafoy's lesions account for roughly 1.5 percent of gastrointestinal hemorrhage. These lesions are twice as common in men, ... 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. ...
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 ...
Retrieved 2017-03-13.[dead link] Baum S, Nusbaum M, Tumen HJ (1970). "The control of gastrointestinal hemorrhage by selective ... It has off-label uses and is used in the treatment of gastrointestinal bleeding, ventricular tachycardia and ventricular ...
... Superior rectal artery Inferior rectal artery "Lower Gastrointestinal Hemorrhage". Diagnostic Imaging: ...
"The control of gastrointestinal hemorrhage by selective mesenteric arterial infusion of vasopressin". Radiology. 98 (3): 497- ... Vasopressin has off-label uses and is used in the treatment of vasodilatory shock, gastrointestinal bleeding, ventricular ...
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 ...
"Prophylactic Endotracheal Intubation in Critically Ill Patients Undergoing Endoscopy for Upper Gastrointestinal Hemorrhage". ... Gastrointestinal Endoscopy. 69 (7): e55-e59. doi:10.1016/j.gie.2009.03.002. PMC 2737482. PMID 19481643. (Articles with short ... Critically Ill Medical Patients endotracheal intubation in critically ill patients undergoing endoscopy for upper GI hemorrhage ...
... (GI bleed), also called gastrointestinal hemorrhage (GIB), is all forms of bleeding in the ... Lower gastrointestinal bleeding is typically from the colon, rectum or anus. Common causes of lower gastrointestinal bleeding ... Gastrointestinal bleeding can be roughly divided into two clinical syndromes: upper gastrointestinal bleeding and lower ... Obscure gastrointestinal bleeding (OGIB) is when a source is unclear following investigation. Upper gastrointestinal bleeding ...
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. ...
... causing it to hemorrhage) on the trunk, buttocks, arms, legs, or breasts, proximal muscle weakness (hips, shoulders), and ... excessive cortisol may lead to gastrointestinal disturbances, opportunistic infections, and impaired wound healing related to ...
They can cause injuries such as hemorrhaging of the lungs, and contusion and ulceration of the gastrointestinal tract. ...
... affects the skin and gastrointestinal tract; brain and central nervous system, immune, skeletal, and ... An increased incidence of difficult and prolonged labor, hemorrhage, uterine dystocia and placental abruption has been ... gastrointestinal, or other infections, e.g., pneumonia. The levels of inflammatory cytokines (e.g., IL-1β, IL-2, IL-6, and TNF- ...
Kew, MC (September 2013). "Aflatoxins as a cause of hepatocellular carcinoma". Journal of Gastrointestinal and Liver Diseases. ... Other liver lesions include enlargement of hepatic cells, fatty infiltration, necrosis, hemorrhage, fibrosis, regeneration of ...
... upper gastrointestinal hemorrhage, IBS symptoms (infectious or not), constipation, and irritable colon. There is little known ... FMT is being used as a new and effective treatment for C. diff infections, a gastrointestinal disease in which Clostridium ... The process of FMT involves injecting a liquid suspension of healthy stool into the gastrointestinal tract of a patient. FMT ... The gut microbiome has been implicated in autism spectrum disorder (ASD) due to its high comorbidity with gastrointestinal ...
Furthermore, if an acute adrenal hemorrhage is suspected in a pheochromocytoma patient, ultrasound is a quick, painless, ... Carney Triad Gastrointestinal stromal tumor Pulmonary chondroma Paraganglioma Carney-Stratakis Syndrome Gastrointestinal ... and weight loss secondary to the stimulation of dopamine receptors throughout the gastrointestinal tract Particularly prevalent ...
Stachybotrys spores in animal studies have been shown to cause lung hemorrhaging, but only at very high concentrations. One ... and gastrointestinal (GI)-specific irritants. The bulk of this article is about mycotoxins that are found in microfungi other ... ISBN 978-1-56670-402-1. Centers for Disease Control and Prevention (CDC) (2000). "Update: Pulmonary hemorrhage/hemosiderosis ... reported an association between mycotoxins from Stachybotrys spores and pulmonary hemorrhage in infants. However, in 2000, ...
It may be caused by a problem in the aorta or in the esophagus, and must be repaired with surgery to avoid hemorrhage. Common ... Gastrointestinal Endoscopy Clinics of North America. 26 (1): 99-118. doi:10.1016/j.giec.2015.08.003. PMC 5425245. PMID 26616899 ...
... or evidence of hemorrhage may require surgery (likely to be life-threatening emergency) Kahan, Scott, Smith, Ellen G. In A Page ... Gastrointestinal endoscopy may be used or patients with suspected peptic ulcer disease Helicobacter pylori testing may also be ...
Thus traditional catheter angiography is used in cases of acute renal hemorrhage or acute arterial obstruction. CTA can be used ... CTA can also be used to localise arterial or venous bleed of the gastrointestinal system. CTA can be used to examine blood ... "CT angiography for acute gastrointestinal bleeding: what the radiologist needs to know". The British Journal of Radiology. 90 ( ...
As there does not appear to be long term benefits and the medication is associated with risks such as gastrointestinal bleeding ... spinal haemorrhages, secondary to medical procedures and birth abnormalities. Cauda equina syndrome (CES) results from a lesion ...
Signs and symptoms include fever, headache, muscle pain, cough, and gastrointestinal symptoms. More virulent strains of O. ... tsutsugamushi can cause hemorrhaging and intravascular coagulation. Morbilliform rash, eschar, splenomegaly, and ...
... the most common cause of gastrointestinal hemorrhage, should be pursued through questions about epigastric distress, the ... Gastrointestinal Bleeding". In Longo, Dan L; Fauci, Anthony S; Kasper, Dennis L; Hauser, Stephen L; Jameson, J. Larry; Loscalzo ... Causes of upper gastrointestinal bleeding that may result in melena include malignant tumors affecting the esophagus, stomach ... However, any bleeding within the upper gastrointestinal tract or the ascending colon can lead to melena. Melena may also be a ...
... gastrointestinal hemorrhage). Transfusions may be needed, and re-operation is sometimes necessary. The use of blood thinners to ... If that seal fails to form for any reason, fluid from within the gastrointestinal tract can leak into the sterile abdominal ... As the Y-connection is moved further down the gastrointestinal tract, the amount available to fully absorb nutrients is ... Any of these may later begin bleeding, either into the abdomen (intra-abdominal hemorrhage) or into the bowel itself ( ...
Deaths from gastrointestinal hemorrhage, American session musicians, Grammy Award winners, Guitarists from Los Angeles, Burials ... The cause of death was gastrointestinal bleeding of the esophagus. With Aretha Franklin Aretha (Arista Records, 1980) Love All ...
In India deaths due to malnutrition, famines, and gastro-intestinal ailments are being decreased through improved agricultural ... and handling postpartum hemorrhage, maternal and infant health in India could improve dramatically. The other 63 percent of ...
Between 10 and 15% of infected fetuses are then born with symptoms, which may include pneumonia, gastrointestinal, retinal and ... Congenital cytomegalovirus infection can be an important cause of intraventricular hemorrhage and neonatal encephalopathy. ...
... gastrointestinal haemorrhage and cirrhosis of the liver) 4 January - Kerry McGregor, contestant on the third series of The X ... cerebral haemorrhage) 24 November - Ian Campbell, folk musician, 79 (cancer) 4 December - Jonathan Harvey, composer, 73 (motor ...
... gastrointestinal symptoms, asthma complications, anaphylactic shock, rupturing of erythrocytes, and hemorrhaging. The hairs ... Some of the symptoms include headaches, conjunctivitis, difficulty breathing, gastrointestinal symptoms, asthma complications, ... anaphylactic shock and hemorrhaging. Ice packs, corticosteroids, topical and oral antihistamines have been reported to help ...
SSRIs double the rate of upper gastrointestinal bleeding. There are many causes for upper gastrointestinal hemorrhage. Causes ... Upper gastrointestinal bleeding is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding ... The presentation of bleeding depends on the amount and location of hemorrhage. A person with upper gastrointestinal bleeding ... People are usually stratified into having either variceal or non-variceal sources of upper gastrointestinal hemorrhage, as the ...
... gastrointestinal hemorrhage (vomiting blood, or admixture of blood in the stool), and occasionally acute pancreatitis ( ...
A number of diverse gastrointestinal (GI) symptoms have been associated with Noonan syndrome. These include swallowing ... or hemorrhage. Occasionally, Chiari malformation (type 1), may occur, which can lead to hydrocephalus. Seizures have also been ... However, In CFC syndrome intellectual disability and gastrointestinal problems are often more severe and pronounced. Costello ...
"Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial". ... Lower gastrointestinal bleeding, commonly abbreviated LGIB, is any form of gastrointestinal bleeding in the lower ... LGIB accounts for 30-40% of all gastrointestinal bleeding and is less common than upper gastrointestinal bleeding (UGIB). It is ... A lower gastrointestinal bleed is defined as bleeding originating distal to the ileocecal valve which includes the colon, ...
... syndrome Rubinstein-Taybi syndrome Setleis syndrome Shell nail syndrome Short anagen syndrome Splinter hemorrhage Spotted ... "Paraneoplastic dermatological manifestation of gastrointestinal malignancies". World J. Gastroenterol. 15 (35): 4372-79. doi: ... post-traumatic punctate intraepidermal hemorrhage, tache noir, talon noir) Callus (callosity, clavus, corn, heloma, heloma ...
Stretch receptors in the gastrointestinal tract sense gas distension that may result in colic pain. Stimulation of sensory ... Cerebral hemorrhage, Subdural hematoma, Aneurysm, Hydrocephalus ("water on the brain"), Cerebral shunt, Meningioma (tumors), ...
The most common side effects in clinical trials were conjunctival haemorrhage, eye pain, vitreous floaters, increased ... "The proportion of patients with serious infections and gastrointestinal disorders was also higher." The authors concluded that ...
... of acute gastrointestinal hemorrhage associated with micronodular cirrhosis. He was 33 years old. Burroughs was cremated and ...
... 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. Nilotinib ... that it was discontinuing a phase III trial of nilotinib as the first-line treatment of gastrointestinal stromal tumor (GIST) ... "Acute respiratory failure from nilotinib-associated diffuse alveolar hemorrhage". Leukemia & Lymphoma. 55 (10): 1-6. doi: ...
Cite this: Death Rates From Gastrointestinal Hemorrhage Falling - Medscape - Oct 22, 2012. ... The past 2 decades have seen a decrease in the inpatient mortality rate from upper gastrointestinal hemorrhage (UGIH), ... "Despite a lot of improvements in all the different techniques available to us to treat upper GI hemorrhaging, no one has so far ... Journal Article Prevalence and Prognostic Significance of Vitamin C Deficiency in Patients With Acute Upper Gastrointestinal ...
Learn how an Earth Clinic reader used African bird pepper to stop profuse bleeding from a duodenal hemorrhage. ... of duodenal hemorrhages, after 8 days and 4 transfusions later, and still losing about a pint of blood a day in passing Melina ...
Copyright © 2022 BMJ Publishing Group Ltd & British Society of Gastroenterology. All rights reserved.. ...
Endoscopic diagnosis and management of esophagogastric variceal hemorrhage: European Society of Gastrointestinal Endoscopy ( ... Endoscopic diagnosis and management of esophagogastric variceal hemorrhage: ESGE Guideline * QIC performance measures for ... Endoscopic diagnosis and management of esophagogastric variceal hemorrhage: ESGE Guideline September 29, 2022 ... 2022 European Society of Gastrointestinal Endoscopy (ESGE). All Rights Reserved. , ESGE Privacy Policy ...
Lower Gastrointestinal Bleeding): Read more about Symptoms, Diagnosis, Treatment, Complications, Causes and Prognosis. ... World journal of gastrointestinal pathophysiology》 5 (4): 467-78. doi:10.4291/wjgp.v5.i4.467. PMID 25400991. ↑ 가 나 다 라 마 바 ... What is the pathophysiology of ischemic colitis? Lower gastrointestinal (GI) bleeding refers to bleeding that occurs from a ... Sleisenger and Fordtrans gastrointestinal and liver disease: pathophysiology, diagnosis, management, 7th ed. Philadelphia; ...
Gastrointestinal Hemorrhage (GI). Gastrointestinal bleeding can be seen in severe hemophilia and can occur in the absence of a ... Intracranial hemorrhage accounts for most deaths from bleeding among all age groups. Central nervous system bleeding can occur ...
If you cannot work because of your gastrointestinal hemorrhaging, you may qualify for Social Security Disability. Call us today ... Does the Gastrointestinal Hemorrhaging Qualify for Benefits?. If you suffer from severe gastrointestinal hemorrhaging, the pain ... If your gastrointestinal hemorrhaging stems from another digestive disorder, you might be able to draw benefits based on that ... Even if your gastrointestinal hemorrhaging is not severe enough to meet the impairment listing, you may still be able to get ...
Cite this: Death Rates From Gastrointestinal Hemorrhage Falling - Medscape - Oct 22, 2012. ... The past 2 decades have seen a decrease in the inpatient mortality rate from upper gastrointestinal hemorrhage (UGIH), ... "Despite a lot of improvements in all the different techniques available to us to treat upper GI hemorrhaging, no one has so far ... Journal Article Prevalence and Prognostic Significance of Vitamin C Deficiency in Patients With Acute Upper Gastrointestinal ...
... Disease. Medical Tests (13). Access to Lower gastrointestinal hemorrhage is restricted. Sign ...
Gastric ascariasis associated with upper gastrointestinal hemorrhage.. Authors: Wilairatana, P. Wilairatana, S. Charoenlarp, P ... Wilairatana P, Wilairatana S, Charoenlarp P. Gastric ascariasis associated with upper gastrointestinal hemorrhage. The ...
Tag Lower Gastrointestinal Hemorrhage. Gastrointestinal haemorrhage GI haemorrhage is divided into upper GI haemorrhage and ... Lower Gastrointestinal Haemorrhage DDx Lower gastrointestinal haemorrhage is classically bleeding from below the ligament of ... lower GI haemorrhage based on the underlying cause and differences in the approach to management ...
Acute upper gastrointestinal haemorrhage. *A Verbon,. *GJ Weverling. *Full-Text HTML. *PDF ...
Gastrointestinal hemorrhage. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020: ... Gastrointestinal bleeding. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtrans Gastrointestinal and Liver ... The upper GI (gastrointestinal) tract includes the mouth, throat, esophagus (swallowing tube), stomach and the duodenum (first ... Meguerdichian DA, Goralnick E. Gastrointestinal bleeding. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosens Emergency ...
Gastrointestinal hemorrhage, unspecified. K92.9. Disease of digestive system, unspecified. L01.0. Impetigo. L02.92. Furuncle, ...
The gastrointestinal tract can also be a source of infection if contents macroscopically rupture or seed the intra-abdominal ... or bilateral adrenal hemorrhage. ... gastrointestinal sources (highest in ischemic bowel), and ... Gastrointestinal: Colitis, infectious diarrhea, ischemic bowel, or appendicitis, among others, with abdominal pain, distension ... Gastrointestinal. Intra-abdominal abscess, cholangitis, cholecystitis, viral hepatitis, peritonitis, diarrhea (Clostridium ...
... upper gastrointestinal hemorrhage; severe central nervous system involvement; and systemic Candida infection. ... and pulmonary hemorrhage. In bone marrow specimens from 12 patients, the most important findings related to the hematopoietic ...
... upper gastrointestinal hemorrhage; severe central nervous system involvement; and systemic Candida infection. ... and pulmonary hemorrhage. In bone marrow specimens from 12 patients, the most important findings related to the hematopoietic ...
Hemorrhage - recent, gastrointestinal. *Jaw fracture with fixed wiring. *Surgery within previous 10 days, depending on type ...
Carotid Blow-Out Masquerading as Gastrointestinal Hemorrhage: A Case Report ... Carotid Blow-Out Masquerading as Gastrointestinal Hemorrhage: A Case Report. Naga Venkata Krishna Chand Pothinenia, c, Mohammad ... had found its way into the gastrointestinal tract through the TEP and had presented as a likely gastrointestinal source of ... 1, 2). This was confirmed by the carotid angiogram which showed active hemorrhage from the common carotid (Fig. 3, 4). The ...
... patients admitted with gastrointestinal bleeding and oesophageal varices confirmed by endoscopy were randomised to receive ... To compare octreotide with injection sclerotherapy in the treatment of acute variceal haemorrhage, ... Octreotide infusion or emergency sclerotherapy for variceal haemorrhage Lancet. 1993 Sep 11;342(8872):637-41. doi: 10.1016/0140 ... To compare octreotide with injection sclerotherapy in the treatment of acute variceal haemorrhage, patients admitted with ...
Gastrointestinal Hemorrhage. 2. 2. Unspecified Nervous System Problem. 2. 2. Ascites. 2. 2. ...
gastrointestinal hemorrhage (. ICD-10-CM Diagnosis Code K92.0. Hematemesis. 2016 2017 2018 2019 2020 2021 2022 2023 Billable/ ... Gastrointestinal hemorrhage, unspecified. 2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Applicable To*Gastric ... newborn gastrointestinal hemorrhage (. ICD-10-CM Diagnosis Code P54.0. Neonatal hematemesis. 2016 2017 2018 2019 2020 2021 2022 ... Other neonatal gastrointestinal hemorrhage. 2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Code on Newborn ...
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Causes gastrointestinal hemorrhage as a result of ingestion.. *Causes skin necrosis on dermal contact. ... Due to the actions of gastric acid and other components within the gastrointestinal tract, most of ingested Cr(VI) dosage is ...
The rate of patients who die with their main diagnosis being gastrointestinal hemorrhage. A GI hemorrhage is loss of blood from ... Surgical Site Infections - Gastrointestinal. Surgical Site Infections (SSIs) occur after surgery in the part of the body where ... For mothers, cesareans carry an increased risk of complications such as post-surgical infection and hemorrhage. Compared to ... SSIs are shown in six categories: Cardiovascular & Thoracic, Gastrointestinal, Orthopedic, OB/GYN, Gallbladder/Liver Related, ...
Gastrointestinal Hemorrhage. Hemorrhage. Pathologic Processes. Gastrointestinal Diseases. Digestive System Diseases. ... Acute Upper Gastrointestinal Hemorrhage Drug: Early intravenous tranexamic acid administration Drug: placebo Phase 3 ... Tranexamic Acid for Upper Gastrointestinal Bleeding (TAUGIB). The safety and scientific validity of this study is the ... Patients with history or presence of subarachnoid hemorrhage. *Acquired color vision impairment, visual loss and retinal venous ...
Risk factors and the role of bedside colonoscopy for lower gastrointestinal hemorrhage in critically ill patients. In: Hepato- ... Risk factors and the role of bedside colonoscopy for lower gastrointestinal hemorrhage in critically ill patients. / Kim, Byung ... Risk factors and the role of bedside colonoscopy for lower gastrointestinal hemorrhage in critically ill patients. Hepato- ... Dive into the research topics of Risk factors and the role of bedside colonoscopy for lower gastrointestinal hemorrhage in ...
Gastritis, gastrointestinal symptoms, including hemorrhage. *General weakness, fatigue. *Increased amount of fat in the stools ...
Gastrointestinal and liver disease in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2013 Dec. 27(6):835-53. [QxMD MEDLINE ... Women with hepatic and gastrointestinal disease in pregnancy may have atypical symptoms, which can pose a challenge to make the ...
Gastrointestinal hemorrhage (bleeding). * Nausea or vomiting. * Persistent itching. * Fever. Liver Cancer: Answers to Commonly ...
  • Gastrointestinal (GI) bleeding refers to any bleeding that starts in the gastrointestinal tract. (medlineplus.gov)
  • The bleeding from the common carotid artery which was initially sentinel, had found its way into the gastrointestinal tract through the TEP and had presented as a likely gastrointestinal source of bleeding. (journalmc.org)
  • Gastrointestinal stromal tumors (GISTs) originate from mesenchymal cells throughout the gastrointestinal tract. (tottori-u.ac.jp)
  • Bleeding in any segment of the GASTROINTESTINAL TRACT from ESOPHAGUS to RECTUM . (bvsalud.org)
  • Motility is a term used to describe the contraction of the muscles that mix and propel contents in the gastrointestinal (GI) tract. (iffgd.org)
  • The most commonly reported adverse reactions are infections (such as nasopharyngitis, upper respiratory tract infection and sinusitis), injection site reactions (erythema, itching, haemorrhage, pain or swelling), headache and musculoskeletal pain. (ecco-ibd.eu)
  • All but one failure in the EGD group was secondary to a lack of a bulge seen in the gastrointestinal (GI) tract. (micrornaarray.com)
  • Intracranial hemorrhage accounts for most deaths from bleeding among all age groups. (cdc.gov)
  • Three of the infants had diffuse intracranial hemorrhage, and the fourth had gastrointestinal bleeding. (cdc.gov)
  • Preliminary queries of Tennessee hospital discharge data during 2007-2012 revealed no confirmed cases of late vitamin K deficiency bleeding, defined as an International Classification of Diseases, Ninth Revision (ICD-9) diagnosis code of either hemorrhagic disease of the newborn (776.0) or vitamin K deficiency (269.0), plus any codes for symptoms of bleeding, including intracranial or gastrointestinal hemorrhages, epistaxis, bruising, or hemothorax. (cdc.gov)
  • The least costly events for both drugs were mild intracranial or intracerebral hemorrhage ($7584 for warfarin and $4314 for second drug) and fatal upper GI hemorrhage ($16,781 and $16,752). (cdc.gov)
  • That you have the lowest risk of fatal death and bleeds from the intracranial hemorrhage with an enriched population. (pharmacytimes.com)
  • LAS VEGAS, Nevada - The past 2 decades have seen a decrease in the inpatient mortality rate from upper gastrointestinal hemorrhage (UGIH), according to a study presented here at the American College of Gastroenterology (ACG) 2012 Annual Scientific Meeting and Postgraduate Course. (medscape.com)
  • Despite a lot of improvements in all the different techniques available to us to treat upper GI hemorrhaging, no one has so far documented any decrease in mortality," Marwan Abougergi, MD, a gastroenterology fellow at Brigham and Women's Hospital and Harvard Medical School, in Boston, Massachusetts, who presented the research, told Medscape Medical News . (medscape.com)
  • Risk assessment after acute upper gastrointestinal haemorrhage. (bmj.com)
  • IMSEAR at SEARO: Gastric ascariasis associated with upper gastrointestinal hemorrhage. (who.int)
  • A 79-year-old Caucasian male with a history of total laryngectomy for laryngeal cancer presented with an upper gastrointestinal bleed. (journalmc.org)
  • This study is to see whether the early intravenous administration of tranexamic acid improves the outcome of acute upper gastrointestinal bleeding. (clinicaltrials.gov)
  • Previous studies reported that IV/Oral administration of tranexamic acid improves the outcome upper gastrointestinal bleeding. (clinicaltrials.gov)
  • Upper gastrointestinal bleeding (UGIB) is a common reason for intensive care admission. (termedia.pl)
  • We performed systematic reviews addressing predefined clinical questions to develop recommendations with the GRADE approach regarding management of patients with overt upper gastrointestinal bleeding. (bvsalud.org)
  • or decreasing hematocrit after severe frank hemorrhage, such as upper gastrointestinal bleeding. (cdc.gov)
  • Gastric Malt Lymphoma in the absence of H. Pylori Infection presenting as an upper Gastrointestinal Hemorrhage. (wayne.edu)
  • 120 cirrhotic patients with upper gastrointestinal bleeding were randomly assigned into: (group I) patients who complicated with hepatic encephalopathy (n = 60) versus (group II) patients not complicated with hepatic encephalopathy (n = 60). (ghrnet.org)
  • Upper gastrointestinal bleeding can be manifested with hematemesis, melena or hematochezia. (ghrnet.org)
  • During this presentation, work up for gastrointestinal bleed with a limited endoscopy and a tagged red blood cell scan did not reveal an active source of bleeding. (journalmc.org)
  • To compare octreotide with injection sclerotherapy in the treatment of acute variceal haemorrhage, patients admitted with gastrointestinal bleeding and oesophageal varices confirmed by endoscopy were randomised to receive either emergency sclerotherapy with 3% sodium tetradecyl sulphate or octreotide (50 micrograms intravenous bolus plus 50 micrograms per h intravenous infusion for 48 h). (nih.gov)
  • This American Society for Gastrointestinal Endoscopy guideline provides evidence-based recommendations for the endoscopic management of gastric outlet obstruction (GOO). (bvsalud.org)
  • This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). (bvsalud.org)
  • This ESGE Guideline provides evidence-based guidance on EGVH including screening/primary prophylaxis (preventing a first variceal hemorrhage), management of an acute bleeding episode, and guidance on secondary prophylaxis (preventing recurrent EGVH) in patients with ACLD. (esge.com)
  • We conclude that in patients with active gastrointestinal bleeding, colonoscopy in combination with scintigraphy detect at a higher rate the cause and the site of bleeding and possibly improve the prognosis . (symptoma.com)
  • Gastrointestinal bleeding can be seen in severe hemophilia and can occur in the absence of a demonstrable lesion. (cdc.gov)
  • Lower gastrointestinal haemorrhage is classically bleeding from below the ligament of Trietz (the suspensory muscle of duodenum that connects to the diaphragm), and is characterised by hematochezia (blood passed in or with the stools) or rectorrhagia (blood leaking from the rectum). (litfl.com)
  • Meguerdichian DA, Goralnick E. Gastrointestinal bleeding. (medlineplus.gov)
  • The three nonsurgical modalities used to diagnose lower gastrointestinal bleeding (LGIB) are colonoscopy , radionuclide scans, and angiography. (medscape.com)
  • Helical CT scanning of the abdomen and pelvis can be used when a routine workup fails to determine the cause of active gastrointestinal (GI) bleeding. (medscape.com)
  • The diagnosis was elusive for a while as initial extensive workup for a source of gastrointestinal bleeding was unsuccessful. (journalmc.org)
  • The infant with gastrointestinal bleeding recovered fully. (cdc.gov)
  • The patient recovered with no new episodes of gastrointestinal bleeding, and was discharged on the third day. (thieme-connect.de)
  • NSAIDs cause an increased risk of serious gastrointestinal (GI) adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. (nih.gov)
  • The cause may be loss of similar history, i.e. paleness of face, faintness the muscular layer and greater disturbance and gastrointestinal bleeding. (who.int)
  • Patients are at risk of haemorrhage from This was a 28-year-old male, the first son multiple sites (especially the nasal mucosa), of the patient in Case 2, with a similar his- pulmonary haemorrhage, high-output car- tory, faintness, gastrointestinal bleeding and diac failure, ischaemic stroke, migraine and feebleness. (who.int)
  • non-steroidal anti-inflammatory drugs (NSAIDs) could cause severe gastrointestinal (GI) injury including jejunal/ileal mucosal ulceration, bleeding, as well as perforation in vulnerable patients. (cancerhugs.com)
  • Gastrointestinal (GI) bleeding is a sign of a digestive system problem. (landmarkdinernyc.com)
  • These result in chronic bleeding, acute hemorrhage, and complications from shunting through VMs. (bvsalud.org)
  • Orofacial petechiae, conjunctivae hemorrhage, nose-bleeding, spontaneous and post-traumatic gingival hemorrhage and prolonged post-extraction bleeding are common orofacial manifestations of inherited hemostatic disorders such as von Willebrand's disease and hemophilia. (ijdr.in)
  • to assess risk factors for hepatic encephalopathy development in Egyptian patients with gastrointestinal bleeding. (ghrnet.org)
  • If you suffer from severe gastrointestinal hemorrhaging, the pain, fatigue, and other symptoms may make it impossible to continue to work. (bergerandgreen.com)
  • Women with hepatic and gastrointestinal disease in pregnancy may have atypical symptoms, which can pose a challenge to make the diagnosis and treat the patient. (medscape.com)
  • Accumulation of glycogen in blood vessels can also lead to a number of vascular symptoms including dilative arteriopathy, aneurysms, ischemic stroke, lacunar encephalopathy, subarachnoid hemorrhage, and aortic stiffness. (rarediseaseadvisor.com)
  • Do not use barium enema examination in the acute hemorrhage phase, because it makes subsequent diagnostic evaluations, including angiography and colonoscopy, impossible. (medscape.com)
  • Intracerebral hemorrhage (such as deep intracerebral hemorrhage and lobar intracerebral hemorrhage) may also occur. (health.am)
  • We posited 20 scenarios for events that included four possibilities for ischemic strokes (mild, moderate, severe, death) and 16 possibilities for hemorrhages. (cdc.gov)
  • Varying assumptions for nursing home care and numbers of ischemic strokes and hemorrhages generated the widest variation in costs. (cdc.gov)
  • 17) Hemorrhagic manifestations, including gastrointestinal hemorrhage, were described during dengue epidemics in Texas and Louisiana in 1922. (cdc.gov)
  • Purpura is a disease included in the large group of hemorrhagic disorders and is distinguished by cutaneous hemorrhage and blood loss from mucous membranes and internal organs, which is always related to vascular or platelet alterations 2 . (bvsalud.org)
  • Complications of the patient's PVD postponed additional gastrointestinal evaluation. (hindawi.com)
  • 16 ) in Dhaka, Bangladesh, lethal complications that include severe haemorrhage, found positive significant correlations between the plasma leakage, organ impairment, fluid accumulation, 2-month-lagged relative humidity, rainfall, maximum and respiratory distress ( 3 ). (who.int)
  • At Berger and Green, we know what it takes to get disability based on a gastrointestinal hemorrhaging diagnosis. (bergerandgreen.com)
  • If your gastrointestinal hemorrhaging stems from another digestive disorder , you might be able to draw benefits based on that diagnosis. (bergerandgreen.com)
  • We conclude that octreotide infusion and emergency sclerotherapy are equally effective in controlling variceal haemorrhage. (nih.gov)
  • La HDA se suele dividir en dos tipos: variceal y no variceal. (bvsalud.org)
  • There was no increased risk of gastrointestinal hemorrhage, superinfection, or neuromuscular weakness seen in treated patients. (the-hospitalist.org)
  • Massive gastrointestinal hemorrhage from a hepaticojejunostomy in pancreatogenic mesenteric vein thrombosis. (thieme-connect.de)
  • However, the side effects associated with the use of NSAIDs are numerous, including gastrointestinal, hematologic and renal disorders and their propensity to cause skin and mucosal reactions [3,7]. (bvsalud.org)
  • Among users with diagnosed dependence, the main causes of hospitalization were chronic obstructive pulmonary disease (100%) and digestive hemorrhage (84%), and most patients had more than one comorbidity simultaneously. (bvsalud.org)
  • We report a case of a ruptured carotid artery presenting as a gastrointestinal bleed. (journalmc.org)
  • This was confirmed by the carotid angiogram which showed active hemorrhage from the common carotid ( Fig. 3 , 4 ). (journalmc.org)
  • Macari et al assessed the ability of computed tomography (CT) scanning to differentiate between intestinal ischemia and intramural hemorrhage and found that although some of the CT features overlap, ischemia typically involves a long segment with wall thickening of less than 1 cm, whereas intramural hemorrhage typically involves a short segment with wall thickening of 1 cm or greater. (medscape.com)
  • This can be due to ischemia (lack of blood flow) caused by blockage, or a hemorrhage. (medicaldaily.com)
  • Background/Aims: We designed this study to determine the clinical characteristics of critically ill patients with lower gastrointestinal hemorrhage (LGIH) and to evaluate the effectiveness of bedside colonoscopy in diagnosing and managing LGIH in the intensive care unit (ICU) setting. (elsevier.com)
  • We found that a higher percentage of pediatric than adult patients exhibited hemorrhage, but overall case-fatality rates remained lower for children than for adults. (cdc.gov)
  • Sleisenger and Fordtran's Gastrointestinal and Liver Disease. (medlineplus.gov)
  • Gastrointestinal and liver disease in pregnancy. (medscape.com)
  • The disease onset is nonspecific and is characterized by abrupt onset of fever, fatigue, headache, myalgia, and gastrointestinal distress 3 to 13 days after exposure to the virus. (cdc.gov)
  • Recently, we analyzed serum biomarkers by using samples from the Gulu outbreak and identified associations between cytokines/chemokines, acute-phase reactants, markers of coagulopathy, and markers of endothelial function and patient death, hemorrhage, and viremia. (cdc.gov)
  • India ( 9 ), Thailand ( 10 ), Malaysia ( 11 ), Viet Nam gastrointestinal problems, joint pain and rash ( 3 ). (who.int)
  • Access to Lower gastrointestinal hemorrhage is restricted. (medicaldatabase.com)
  • RESULTS: The greatest cost-generating events were virtually the same for the two drugs and included severe stroke ($1,758,548 for 1 year for both drugs), moderate stroke ($380,355 for 1 year for both drugs), and severe lower gastrointestinal (GI) hemorrhage ($193,804 for 1 year for warfarin and $193,474 for second drug). (cdc.gov)