a 50-year-old lady presented with bloody vomiting and melena since four days prior to admission. her medical history was significant only for hypertension which was controlled by a 5 mg daily dose of amlodipine. she occasionally took nsaids. on admission, the physical exam revealed only mild tachycardia and pallor. hemoglobin was 9.7 g/dl, which subsequently declined to 7.9 g/dl. the first uppe...

Upper gastrointestinal (GI) bleeding remains a significant cause of mortality and morbidity among renal transplant recipients. We retrospectively analyzed the records of patients who received renal transplantations between January 2001 and July 2007 using mycophenolate mofetil (MMF) in their immunosuppressive regimens. The following data were recorded for those subjects with upper GI bleeding d...

BACKGROUND Upper gastrointestinal (GI) bleeding is one of the most common, high risk emergency disorders in the western world. Almost nothing has been reported on longer term prognosis following upper GI bleeding. The aim of this study was to establish mortality up to three years following hospital admission with upper GI bleeding and its relationship with aetiology, co-morbidities and socio-de...

Acute upper gastrointestinal (GI) bleeding remains one of the most common encounters in emergency medicine. The increased use of non-steroid anti-inflammatory drugs by the general population and the increased prescription of anti-platelet agents and anti-coagulants after cardiovascular interventions and for prevention of cerebral vascular accidents may have aggravated the situation. Significant...

Symptomatic primary (amyloid light-chain or AL) amyloidosis of the gastrointestinal (GI) tract is very rare. Most of the patients with symptomatic involvement of the GI tract present with altered motility, malabsorption, or bleeding. We report a case of gastric and colonic amyloidosis on anticoagulation presenting with massive upper and lower GI bleeding. A 67-year-old lady known to have multip...

Upper gastrointestinal (GI) bleeding is defined as bleeding proximal to the ligament of Treitz. The most important aspect of management of GI bleeding is to locate the site and cause of bleeding. The aim of the study is to find out the common etiology, presentation and management, including the role of upper GI endoscopy. Recent advances have meant that endoscopic hemostatic methods are now ass...

There are 20 cases of lower gastrointestinal (GI) bleeding per 100 000 adults annually in the United States. The incidence rate rises substantially with age, with a 200-fold increase between the 3rd and 9th decades of life. As with upper GI bleeding, there is spontaneous cessation of bleeding in 80% of cases. The mortality rate of 3% to 5% for lower tract bleeding is substantially lower than th...

obscure gastrointestinal (gi) bleeding is defined when the source of gi bleeding could not be determined by upper endoscopy, colonoscopy or barium small bowel transit. in this report, a 41 year-old man presented with a history of over ten recurrent episodes of melena since four years prior to admission. the source of bleeding was not detected by multiple upper and lower gi endoscopies. during t...