Challenging acute gastrointestinal bleeding

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Acute gastrointestinal bleeding: Part I.

OBJECTIVE To review the management of acute gastrointestinal bleeding in the critically ill patient in a two part presentation. DATA SOURCES Articles and a review of studies reported from 1991 to 2001 and identified through a MEDLINE search of the English language literature on acute gastrointestinal bleeding. SUMMARY OF REVIEW Gastrointestinal bleeding is a relatively frequent problem in t...

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Acute gastrointestinal bleeding: Part II.

OBJECTIVE To review the management of acute gastrointestinal bleeding in the critically ill patient in a two part presentation. DATA SOURCES Articles and a review of studies reported from 1991 to 2001 and identified through a MEDLINE search of the English language literature on acute gastrointestinal bleeding. SUMMARY OF REVIEW Oesophageal varices are a common source of upper gastrointestin...

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Transfusion strategies for acute upper gastrointestinal bleeding.

BACKGROUND The hemoglobin threshold for transfusion of red cells in patients with acute gastrointestinal bleeding is controversial. We compared the efficacy and safety of a restrictive transfusion strategy with those of a liberal transfusion strategy. METHODS We enrolled 921 patients with severe acute upper gastrointestinal bleeding and randomly assigned 461 of them to a restrictive strategy ...

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Acute lower gastrointestinal bleeding from a polyp

A 50-year-old woman was admitted to our institution because of a pertrochanteric fracture in her right hip to place a femoral nail. Orthopedic surgeons prescribed metamizol 1 g t.i.d. plus paracetamol 1 g t.i.d., both intravenously, as analgesics. One week after surgery she started having hematochezia and her hemoglobin dropped from 12 to 7.7 g/dL. She underwent an urgent gastroscopy (normal)an...

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The management of acute upper gastrointestinal bleeding.

Acute upper gastrointestinal (GI) bleeding is one of the most common medical emergencies and most cases require urgent medical assessment. Half of all cases are due to peptic ulcer and this article focuses on non-variceal bleeding. The priority, following emergency hospital admission, is to support the circulation of the shocked patient rather than to identify the source of bleeding. After resu...

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ژورنال

عنوان ژورنال: Revista Andaluza de Patología Digestiva

سال: 2021

ISSN: 1988-317X

DOI: 10.37352/2021441.2