By Karen E. Kim
Prime specialists within the fields of gastroenterology, surgical procedure, and radiology comprehensively assessment the pathophysiology, analysis, administration, and remedy of acute bleeding problems of the GI tract. The authors holiday down acute bleeding into top and decrease GI tract resources and supply a differential analysis for every disorder, evidence-based algorithms for medical perform, therapy modalities for its administration, and criteria of care. The authors define the numerous dilemmas confronted by means of physicians of their method of their sufferers, comparable to localization of the bleeding resource (upper vs lower), the necessity and timing for emergency endoscopy, and the timing for radiologic intervention and/or surgical procedure.
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Additional resources for Acute Gastrointestinal Bleeding: Diagnosis and Treatment (Clinical Gastroenterology)
Pylori and treating infection when present (test and treat). If symptoms persist, then endoscopy should be done (8). Empiric treatment of H. pylori without first documenting an ulcer remains controversial since most dyspeptic individuals have nonulcer dyspepsia, for which treatment of H. pylori is only occasionally helpful (11). Also, selecting age 45 rather than an older age as the cutoff to recommend EGD is debatable. For example, in a recent study from Scotland, 90% of patients younger than 55 years subsequently diagnosed with gastric cancer had at least one “sinister” symptom (dysphagia, weight loss, persistent vomiting, anemia, family history of upper GI cancer, bleeding, previous gastric surgery, or palpable mass) (12).
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Cronen P, Snow N, Nightingale D. Aortoesophageal fistula secondary to reflux esophagitis. Ann Thorac Surg 1982; 33: 78–80. 118. Sigalet DL, Laberge JM, DiLorenzo M, et al. Aortoesophageal fistula: congenital and acquired causes. J Pediatr Surg 1994; 29: 1212–1214. 119. Loh KS, Tan KK. Subclavian-oesophageal fistula as a complication of foreign body ingestion: a case report. Ann Acad Med Singapore 1998; 27: 277–278. 120. Jiraki K. Aortoesophageal conduit due to a foreign body. Am J Forensic Med Pathol 1996; 17: 347–348.
Acute Gastrointestinal Bleeding: Diagnosis and Treatment (Clinical Gastroenterology) by Karen E. Kim