Acute Upper Gastro Intestinal Bleeding

Posted by e-Medical PPT Wednesday, June 23, 2010
Upper gastrointestinal bleeding refers to hemorrhage in the upper gastrointestinal tract above the ligament of Treitz, which connects the fourth portion of the duodenum to the diaphragm near the splenic flexure of the colon.Upper GI bleeds are considered medical emergencies, and require admission to hospital for urgent diagnosis and management. Due to advances in medications and endoscopy, upper GI hemorrhage is now usually treated without surgery.
Patients with upper GI hemorrhage often present with hematemesis, coffee ground vomiting, melena, or hematochezia (maroon coloured stool) if the hemorrhage is severe. The presentation of bleeding depends on the amount and location of hemorrhage.Patients may also present with complications of anemia, including chest pain, syncope, fatigue and shortness of breath.

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