Management of upper gi bleed
Management of acute upper GI bleeding | BJA Education | Oxford …
— Patients should be asked about prior episodes of upper GI bleeding, since up to 60 percent of patients with a history of an upper GI bleed are bleeding from the same lesion In addition, the patient’s past medical history should be reviewed to identify important comorbid conditions that may lead to upper GI bleeding or may influence the ...
[DOCX File]Goppert.org
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The management of acute GI hemorrhage includes volume resuscitation (crystalloid, colloid, and blood), endoscopic therapy, and/or surgery. Unstable patients should receive a 2 liter crystalloid bolus and urinary catheter insertion for assessment of end-organ perfusion. Unfortunately, recurrent bleeding occurs in 15-20% of cases (1).
[DOC File]General Surgery—GI Bleeds and Intestinal Obstruction
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The mortality rate has significantly decreased after the introduction of the upper GI scope in the evaluation of patients presenting with upper GI bleeding. Re-bleeding is considered the most important risk factor for mortality and occurs in 10–30% of those successfully treated for upper GI bleed1.
[DOC File]11 - Rajiv Gandhi University of Health Sciences
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Antibiotic therapy should be commenced in patients with chronic liver disease who present with acute upper gastrointestinal haemorrhage. Nasogastric aspiration may identify high-risk upper GI haemorrhage, allow lavage and facilitate endoscopy but no evidence that it alters outcome has been identified. 4.2.5 Other modalities
Toolkit for the Management of Major Haemorrhage
Patients with upper respiratory bleed, paranasal sinuses bleed, lower GI bleed. Upper endoscopy is 90% to 95% diagnostic for acute upper GI bleeding.All patients with upper GI bleeding need an upper endoscopic examination to diagnose and assess the risk posed by the bleeding lesion and to treat the lesion, reducing the risk of recurrent bleeding.
[DOC File]GI Cases
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Relatively insensitive in detecting bleeding from the upper GI. Heme-porphyrin test: Extremely sensitive. Highly affected by nonhuman dietary heme e.g. meat. Not very specific . Limited use. Endoscopic evaluation. Colonoscopy and upper endoscopy remain the cornerstones for investigation of occult blood loss. Bidirectional endoscopy
[DOCX File]Acute Gastrointestinal Hemorrhage
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Upper GI Bleed. An . upper GI bleed . is proximal to the ligament of Treitz. More common than lower. Mortality rate for UGI bleed is 5-10% overall. It can be as high as 40-50% in elderly patients with comorbid illness. Causes. Duodenal ulcer - MCC. Gastric …
[DOC File]RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, …
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Provide the differential diagnosis for an upper GI bleed. Discuss the role of NSAIDs, aspirin and clopidogrel in this patient’s bleeding and what can be done to minimize this problem in the future. Consider the long term prognosis for this patient’s cardiac and gastrointestinal problems.
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