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...

1. Apply an understanding of the pathophysiology and risk factors for upper gastrointestinal (GI) bleeding to patient care. 2. Evaluate the most recent guidelines for management and prevention of upper GI bleeding. 3. Devise a plan to effectively manage acute GI bleeding and optimize treatment responses in the individual patient. 4. Design plans for the prevention of upper GI bleeding caused by...

BACKGROUND Upper gastrointestinal bleeding with complicated factors is always difficult to find the primary origin. CASE PRESENTATION Here we present a case of a 74-year-old male farmer suffered from acute upper gastrointestinal bleeding caused by gastric ulcer and Mallory-Weiss syndrome and chronic anemia which was at last found caused by hook worm infection. CONCLUSION It tells us that co...