Chapter 21. Acute Upper Nonvariceal Gastrointestinal Hemorrhage

  1. Tony C. K. Tham MD, FRCP, FRCPI Consultant Gastroenterologist Head of School of Medicine2,3,
  2. John S. A. Collins MD Consultant Gastroenterologist4 and
  3. Roy M. Soetikno MD, MS Chief Associate Professor5,6
  1. Kelvin Palmer FRCP Edin Consultant Gastroenterologist

Published Online: 9 FEB 2009

DOI: 10.1002/9781444303292.ch21

Gastrointestinal Emergencies, Second Edition

Gastrointestinal Emergencies, Second Edition

How to Cite

Palmer, K. (2008) Acute Upper Nonvariceal Gastrointestinal Hemorrhage, in Gastrointestinal Emergencies, Second Edition (eds T. C. K. Tham, J. S. A. Collins and R. M. Soetikno), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444303292.ch21

Editor Information

  1. 2

    The Ulster Hospital, Dundonald, Belfast, Northern Ireland, UK

  2. 3

    Northern Ireland deanery, UK

  3. 4

    Royal Victoria Hospital, Belfast, Northern Ireland, UK

  4. 5

    GI Section, VA Palo Alto Health Care System, USA

  5. 6

    Stanford University, USA

Author Information

  1. Western General Hospital, Edinburgh, UK

Publication History

  1. Published Online: 9 FEB 2009
  2. Published Print: 28 NOV 2008

ISBN Information

Print ISBN: 9781405146340

Online ISBN: 9781444303292



  • acute upper nonvariceal gastrointestinal hemorrhage;
  • first assessment - identifying significant liver disease;
  • algorithm for management of acute gastrointestinal hemorrhage;
  • algorithm for acute gastrointestinal bleeding;
  • endoscopic therapy;
  • hematemesis and melena;
  • esophagogastric varices;
  • direct injection of fluids into bleeding ulcer;
  • management of peptic ulcer hemorrhage;
  • secondary prophylaxis


This chapter contains sections titled:

  • Risk assessment

  • Management: general principles

  • Management of peptic ulcer hemorrhage

  • References