gastrointestinal bleeding

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gastrointestinal bleeding

any bleeding from the GI tract. The most common underlying conditions are peptic ulcer, Mallory-Weiss syndrome, esophageal varices, diverticulosis, ulcerative colitis, and carcinoma of the stomach and colon. Vomiting of bright red blood or passage of coffee ground vomitus indicates upper GI bleeding, usually from the esophagus, stomach, or upper duodenum. Aspiration of the gastric contents, lavage, and endoscopy are performed to determine the site and rate of bleeding. Tarry black stools indicate a bleeding source in the upper GI tract; bright red blood from the rectum usually indicates bleeding in the distal colon. GI bleeding is treated as a potential emergency. Patients may require transfusions, fluid replacement, endoscopic treatment, or gastric lavage and are watched carefully so as to prevent shock and hypovolemia. In all patients blood loss is evaluated and ability to coagulate is tested. See also coffee-ground vomitus, hematochezia, melena.

gastrointestinal bleeding

Any hemorrhage into the GI tract lumen, from esophagus–eg, from ruptured esophageal varices, to anus–eg from hemorrhoids

gastrointestinal bleeding

Bleeding from anywhere in the gastrointestinal tract.
Synonym: gastrointestinal hemorrhage
See also: bleeding
References in periodicals archive ?
Outcome of Upper Gastrointestinal Endoscopy of Patients Presenting With Upper Gastrointestinal Bleed.
Analysis of data from 73,863 women enrolled in the Nurses' Health Study II in 1989 showed that current users of menopausal hormone therapy had a 46% increase in the risk of a major gastrointestinal bleed and a more than twofold increase in the risk of a lower GI bleed or ischemic colitis, compared with never users, said Dr.
Monotherapy with prescription nonselective NSAIDs increased the chances of an upper gastrointestinal bleed by 4.
Furthermore, steroids, thrombophylactic agents, anticoagulants and heavy cigarette smoking may act as predisposing factors to gastrointestinal bleed.
She had required a 13 unit blood transfusion 5 years ago due to a massive gastrointestinal bleed for which no cause was found, despite extensive investigations.
Hence immediate risk of a major life-threatening gastrointestinal bleed is significantly relieved.
On January 29, the patient developed an "upper gastrointestinal bleed.
With a systematic management approach, nine out of ten patients with massive upper gastrointestinal bleed can be saved.
Kippel-Trenaunay-Weber syndrome patients presenting with Gastrointestinal bleed is also an uncommon presentation.
On average, a 28 percent lower inhospital risk-adjusted mortality was experienced by Medicare patients at Distinguished Hospitals for Clinical Excellence in the following procedures and diagnoses: cardiac surgery, angioplasty and stent, heart attack, heart failure, atrial fibrillation, chronic obstructive pulmonary disease, community-acquired pneumonia, stroke, abdominal aortic aneurysm repair, bowel obstruction, gastrointestinal bleed, pancreatitis, diabetic acidosis and coma, pulmonary embolism and sepsis.
Lau's group has previously reported that omeprazole treatment of patients who underwent endoscopic treatment for an upper gastrointestinal bleed significantly decreased the rate of rebleeding within 30 days, from a rate of 22% in a placebo group to 7% in a treated group (N.
9-fold, compared with patients younger than 60 years; a prior gastrointestinal bleed, which boosted the risk by 5.

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