Nonvariceal Upper Gastrointestinal Bleeding

Khan, Yakub; Gunaratnam, Naresh T.

doi:10.1016/b978-1-4377-1529-3.00012-9

Cited by 3 publications

(5 citation statements)

References 203 publications

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“…The diagnostic potential for an occult bleed is lesser. It is also used for risk stratification and appropriate intervention if needed [11].…”

Section: Discussionmentioning

confidence: 99%

“…Depending on the location of the bleeding, the approach is different. In the case of the superior mesenteric artery, the catheter is advanced to the vasa rectum, whereas for the inferior mesenteric artery, the catheter must be moved to the marginal or terminal artery [11]. IR embolization is being increasingly used in older patients, particularly because of the relatively less invasive nature of the procedure [14,15].…”

Section: Discussionmentioning

confidence: 99%

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The Role of Timely Angiography in Elderly Patients Presenting With Lower Gastrointestinal Bleeding

Ghazanfar,

Javed,

Balar

2023

Cureus

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Lower gastrointestinal bleeding (LGIB) is associated with significant morbidity and mortality in the elderly population. Timely diagnosis and establishing the etiology of the LGIB can guide appropriate treatment and management. Our patient is a 91-year-old female who presented to the ER with the complaint of several episodes of hematochezia that started four hours before her presentation. The patient underwent an urgent CT angiography showing active bleeding in the proximal ascending colon. She underwent a super-selective arteriogram followed by embolization of the ascending colon arterial culprit bleeding territory using two coils. Her clinical condition improved, and she had no further episodes of hematochezia. Her case highlights the importance of timely diagnosis of the underlying etiology of a patient presenting with LGIB.

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“…The diagnostic potential for an occult bleed is lesser. It is also used for risk stratification and appropriate intervention if needed [11].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Role of Timely Angiography in Elderly Patients Presenting With Lower Gastrointestinal Bleeding

Ghazanfar,

Javed,

Balar

2023

Cureus

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“…This radionuclide imaging method is used to determine the status of bleeding and its location and can approximate the bleeding volume [13]. The detection rate is accurate at levels as low as 0.1 mL/m [14].…”

Section: Radiological Diagnosismentioning

confidence: 99%

Practical Aspects of Upper Gastrointestinal Bleeding in Children

Sur

Armat

Sur

et al. 2023

JCM

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Upper gastrointestinal bleeding (UGB) in children is a potentially life-threatening condition that represents a challenge for pediatricians and pediatric surgeons. It is defined as bleeding from any location within the upper esophagus to the ligament of Treitz. UGB can have many causes that vary with age. The impact on the child is often proportional to the amount of blood lost. This can range from mild bleeding that is unlikely to cause hemodynamic instability, to massive bleeding that requires admission to the intensive care unit. Proper and prompt management are very important factors in reducing morbidity and mortality. This article aims to summarize current research regarding the diagnosis and treatment of UGB. Most of the data used in the literature published on this subject is extrapolated from adulthood.

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“…Advantages to Tc-RBC scans include detection of bleeding at a rate as low as 0.1 mL/min and localization of bleeding within 5 minutes or up to 24 hours after infusion, making it useful for diagnosis of slow or intermittent LGIB. 7 The diagnostic yield ranges from 40% to 90%. 7 The lack of scan detail and difficulty in differentiating colon from overlying small bowel account for this variation.…”

Section: Presentation and Diagnosismentioning

confidence: 99%

“…7 The diagnostic yield ranges from 40% to 90%. 7 The lack of scan detail and difficulty in differentiating colon from overlying small bowel account for this variation. Tc-RBC is a useful adjunct that aids in localization and can increase mesenteric angiography diagnostic yield by 2-fold.…”

Section: Presentation and Diagnosismentioning

confidence: 99%

Evaluation and Management of Lower GI Bleeding

Drezdzon

Peterson

2022

Diseases of the Colon &Amp; Rectum

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CASE SUMMARY: A 73-year-old woman, who had received apixaban for therapeutic anticoagulation, presented with hypotension and hematochezia. After resuscitation, diagnostic colonoscopy revealed multiple polyps and old blood within the colonic lumen, but no active bleeding (Fig. 1). Nasogastric lavage and subsequent EGD were unremarkable. During her hospitalization, she was admitted to the intensive care unit with worsening anemia, hypotension, and hematochezia. CT angiogram showed extravasation at the transverse colon (Fig. 1). Formal angiogram was unable to localize the source of bleeding, despite provocation. Given the localization on CT angiography and the patient’s clinical deterioration, she underwent hand-assisted segmental transverse colectomy. Surgical pathology was notable for multiple adenomas without dysplasia. The patient had no further episodes of GI bleeding after resection.

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Nonvariceal Upper Gastrointestinal Bleeding

Cited by 3 publications

References 203 publications

The Role of Timely Angiography in Elderly Patients Presenting With Lower Gastrointestinal Bleeding

The Role of Timely Angiography in Elderly Patients Presenting With Lower Gastrointestinal Bleeding

Practical Aspects of Upper Gastrointestinal Bleeding in Children

Evaluation and Management of Lower GI Bleeding

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