Chapter 3. Approach to Upper Gastrointestinal Bleeding

  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. Patrick Allen MB, MRCP Specialist Registrar1 and
  2. Tony C. K. Tham MD, FRCP, FRCPI Consultant Gastroenterologist Head of School of Medicine2,3

Published Online: 9 FEB 2009

DOI: 10.1002/9781444303292.ch3

Gastrointestinal Emergencies, Second Edition

Gastrointestinal Emergencies, Second Edition

How to Cite

Allen, P. and Tham, T. C. K. (2009) Approach to Upper Gastrointestinal Bleeding, 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.ch3

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. 1

    Ulster Hospital, Belfast, UK

  2. 2

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

  3. 3

    Northern Ireland deanery, UK

Publication History

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

ISBN Information

Print ISBN: 9781405146340

Online ISBN: 9781444303292

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Keywords:

  • upper gastrointestinal bleeding;
  • nonvariceal upper gastrointestinal bleeding;
  • variceal hemorrhage;
  • transjugular intrahepatic portosystemic shunts (TIPS);
  • examination and assessment;
  • past medical history;
  • initial management by resuscitation;
  • prophylactic antibiotics;
  • full blood count with platelet count;
  • vasopressin analogues

Summary

This chapter contains sections titled:

  • Introduction

  • Pathophysiology

  • Causes of upper gastrointestinal hemorrhage

  • Morbidity/mortality from upper gastrointestinal bleeding

  • History

  • Examination and assessment

  • Initial management: resuscitation

  • Risk assessment

  • Investigations

  • Medical management of suspected nonvariceal upper gastrointestinal hemorrhage

  • Management of variceal upper gastrointestinal hemorrhage

  • Summary

  • References