Chapter 11. Acute Upper Gastrointestinal Haemorrhage

  1. Adam Brooks FRCS (Gen Surg), DMCC Consultant Senior Lecturer2,3,
  2. Bryan A. Cotton MD, MPH Associate Professor4,
  3. Lt Col Nigel Tai MS, FRCS (Gen Surg), RAMC Consultant Senior Lecturer3,5 and
  4. Col Peter F. Mahoney OBE, TD, MSc, FRCA, RAMC Defence Professor6
  1. John S. Hammond Clinical Lecturer

Published Online: 10 MAR 2010

DOI: 10.1002/9781444315172.ch11

Emergency Surgery

Emergency Surgery

How to Cite

Hammond, J. S. (2010) Acute Upper Gastrointestinal Haemorrhage, in Emergency Surgery (eds A. Brooks, B. A. Cotton, N. Tai and P. F. Mahoney), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444315172.ch11

Editor Information

  1. 2

    Major Trauma Pathway Lead, General Surgery Service Lead, Nottingham University Hospital NHS Trust, Nottingham, UK

  2. 3

    Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

  3. 4

    Department of Surgery and the Center for Translational Injury Research, The University of Texas Health Science Center, Houston, Texas, USA

  4. 5

    Defence Medical Services, Trauma Clinical Academic Unit, Royal London Hospital, Whitechapel, London, UK

  5. 6

    RCDM Birmingham Research, Park Vincent Drive, Birmingham, UK

Author Information

  1. Department of Surgery, Nottingham Digestive Diseases Centre, University of Nottingham, Nottingham, UK

Publication History

  1. Published Online: 10 MAR 2010
  2. Published Print: 31 JAN 2010

ISBN Information

Print ISBN: 9781405170253

Online ISBN: 9781444315172



  • acute upper gastrointestinal haemorrhage;
  • acute upper gastrointestinal (GI) haemorrhage - common gastroenterological emergency;
  • risk factors for death and Rockall's scoring system;
  • endoscopic retrograde cholangiopancreatography [ERCP];
  • Rockall's scoring system;
  • focus of early management in patients with acute upper GI haemorrhage - correcting fluid losses and restoring haemodynamic stability;
  • surgical management;
  • selective arterial angiography - to investigate and treat upper GI bleeding;
  • algorithm for management of variceal haemorrhage


This chapter contains sections titled:

  • Introduction

  • Clinical presentation

  • Early management

  • Surgical management

  • Further reading