
	Where results make sense

Topic: Upper gastrointestinal bleed

Related Topics

Coffee ground vomiting

Hemorrhage

Microangiopathic haemolytic anaemia

Hemolytic uremic syndrome

HELLP syndrome

Cancer

Thrombotic thrombocytopenic purpura

Shear stress

In the News (Thu 31 Dec 09)

Northern Trust

Marvin Harrison

Peter Chernin

Gary Locke

Match Play

Penelope Cruz

Mickey Rourke

AR Rahman

Danny Boyle

Hugh Jackman

	Adult Health Advisor 2005.4: Upper Gastrointestinal Bleeding (Hematemesis)
		The bleeding is usually from the upper gastrointestinal (GI) tract.
		This means the bleeding may be from the esophagus (the tube that connects the mouth and stomach), the stomach, or the upper small intestine (duodenum).
		Sometimes the esophagus bleeds because it is torn.
	www.med.umich.edu /1libr/aha/aha_hemateme_crs.htm (1044 words)

	[No title]
		An upper gastrointestinal study was ordered, but the report of such examination is not in the claims folder.
		In the summary at the time of discharge, it was reported that he had had an episode of upper gastrointestinal bleeding in 1974, which was felt to be secondary to alcohol abuse.
		Upper gastrointestinal studies since his discharge from service have not identified any specific underlying gastrointestinal disorder to be the etiology of his complaints.
	www.va.gov /vetapp/files2/9412315.txt (1295 words)

	Upper GI Bleed Pediatric Oncall (Site not responding. Last check: 2007-11-03)
		This is one of the very few conditions, which scares the child and the parents and at the same time poses a challenge to the physician to diagnose the cause for it.
		Upper GI bleeding refers to bleeding above the ligament of Treitz.
		If the cause for the bleed is variceal haemorrhage and the bleeding fails to stop, vasopressin infusion must be started cautiously at a rate of 0.3 U/Kg diluted in 5ml/kg of D5W given over 20 minutes followed by a continuous infusion of 0.2 to 0.4U/1.73 m
	www.pediatriconcall.com /FORDOCTOR/DiseasesandCondition/upper_gastro.asp (349 words)

	Upper Gastrointestinal Hemorrhage
		Upper gastrointestinal hemorrhage refers to bleeding (hemorrhage) that arises in the lining of the esophagus, stomach or upper part of the small intestine (which together are called the upper gastrointestinal tract, or upper GI).
		Upper GI bleeding can lead to serious difficulties, especially if the bleeding is heavy or cannot be stopped.
		There are many causes of upper GI bleeding, of which the most common is ulcers.
	health.ivillage.com /digestion/distomach/0,,6hdw,00.html (367 words)

	Encyclopedia: Colonoscopy
		Indications for colonoscopy include gastrointestinal hemorrhage, unexplained changes in bowel habit or suspicion of malignancy.
		Colonoscopies are often used to diagnose or rule out colon cancer, but are also frequently used to diagnose inflammatory bowel disease.
		In medicine (gastroenterology), esophagogastroduodenoscopy (EGD) or upper endoscopy is a diagnostic endoscopic procedure that visualises the upper part of the gastrointestinal tract.
	www.nationmaster.com /encyclopedia/Colonoscopy (1471 words)

	Fecal Blood May Signal Upper Gi Bleed
		Combining this test with an immunochemical test may help differentiate bleeding in the upper gastrointestinal tract from bleeding in the bowel, conclude the authors, a team of researchers led by Dr. Don C. Rockey of Duke University Medical Center in Durham, North Carolina.
		Of the 119 who had gastrointestinal abnormalities, 71 had them in the upper gastrointestinal tract, and 54 had them in the colon.
		Among patients with upper GI problems, the most common abnormalities were inflammation of the esophagus, stomach ulcers, inflammation of the stomach, or intestinal ulcers.
	www.personalmd.com /news/a1998071514.shtml (474 words)

	Gastrointestinal Bleeding (Site not responding. Last check: 2007-11-03)
		Upper gastrointestinal bleeding in this age group is most frequently due to esophagitis, gastritis, or peptic ulcers.
		Upper gastrointestinal bleeding in this age group is most frequently due to peptic ulcer disease (duodenal and gastric), gastritis, and esophageal varices.
		Following an upper GI bleed, diet should be initially light to test gastric emptying and give a chance for normal function to return.
	www.naspgn.org /sub/Gastrointestinal_Bleeding.htm (4716 words)

	Inhibition of serotonin reuptake by antidepressants and upper gastrointestinal bleeding in elderly patients: ...
		Inhibition of serotonin reuptake by antidepressants and upper gastrointestinal bleeding in elderly patients: retrospective cohort -- van Walraven et al.
		of serotonin reuptake by antidepressants and upper gastrointestinal
		The overall risk of upper gastrointestinal bleeding was 7.3 per 1000 person years (table 1).
	bmj.bmjjournals.com /cgi/content/full/323/7314/655 (3342 words)

	Upper Gastrointestinal Hemorrhage
		Upper gastrointestinal hemorrhage refers to bleeding (hemorrhage) that arises in the lining of the esophagus, stomach or upper part of the small intestine (which together are called the upper gastrointestinal tract, or upper GI).
		Upper GI bleeding can lead to serious difficulties, especially if the bleeding is heavy or cannot be stopped.
		There are many causes of upper GI bleeding, of which the most common is ulcers.
	www.allhealth.com /experts/digestive/qas/0,,242109_175887,00.html (367 words)

	New generation antidepressants increase risk of gastrointestinal bleeds
		There were 974 gastrointestinal bleeds during the study.
		The higher the inhibition of serotonin re-uptake, the higher was the risk of a bleed.
		This equates to an additional bleed for every 85 patients treated with the highest inhibiting drugs for a year.
	www.eurekalert.org /pub_releases/2001-09/bmj-nga091901.php (275 words)

	April 2002 A.indd
		Significant gastrointestinal lesions which have the potential to cause blood loss were defined as malignant or adenomatous polyps, Barratt’s oesophagus, inflammatory bowel disease, peptic ulceration, angiodysplasia and coeliac disease.
		A substantial number of lesions of the upper gastrointestinal tract were identified in patients with a positive Haemoccult test, despite the theoretical inability of this test to detect upper gastrointestinal bleeding.
		Is there a role for upper gastrointestinal endoscopy in the evaluation of patients with occult blood-positive stool and negative colonoscopy.
	www.rcsed.ac.uk /journal/vol47%5F2/4720007.html (1832 words)

	MedlinePlus Medical Encyclopedia: Gastrointestinal bleeding
		Gastrointestinal bleeding refers to any bleeding that originates in the gastrointestinal tract, from the mouth to the large bowel.
		Gastrointestinal bleeding can range from microscopic bleeding, where the amount of blood is so small that it can only be detected by laboratory testing, to massive bleeding where pure blood is passed.
		Gastrointestinal bleeding is diagnosed by the health care provider -- the person may or may not have been aware of its presence.
	www.nlm.nih.gov /medlineplus/ency/article/003133.htm (638 words)

	[No title] (Site not responding. Last check: 2007-11-03)
		Dieulafoy’s lesion is an uncommon cause of gastrointestinal haemorrhage.
		It may present with massive and life threatening bleed and although more common in the upper gastrointestinal tract, it is being increasingly reported as affecting the lower gastrointestinal tract.
		Even though endoscopic visualization of the lower gastrointestinal tract in the presence of profuse lower gastrointestinal haemorrhage may not be possible, this important procedure should not be omitted as the bleeding source may be lying in a low and accessible location for prompt interventional haemorrhage control.
	www.belsurg.org /showartikel.asp?id=303 (179 words)

	The price of aspirin [April 2004; 122-2]
		Upper gastrointestinal bleeding can be reduced by concomitant use of proton pump inhibitors [1].
		During the 12 months of the study, 14 upper gastrointestinal tract events were adjudicated by an end-points committee, and 10 were confirmed.
		The relative risk was 0.1 (95% CI 0.01 to 0.8) and the number needed to treat with 30 mg lansoprazole for one year to prevent one upper gastrointestinal bleed was 8 (95% CI 4 to 27).
	www.jr2.ox.ac.uk /Bandolier/band122/b122-2.html (1038 words)

	Effects of Vioxx & your safety - FDA committee discusses the GI tract
		The upper gastrointestinal effects are the most pronounced but there are some very interesting effects that we see throughout the GI tract, such as in the small intestine and colon.
		Clearly, the major effects of NSAIDs in the GI tract are in the upper gastrointestinal tract, such as ulcers more commonly in the stomach and the duodenum, and concerns such as gastrointestinal bleeding, perforations and obstructions.
		Taking etodolac as an example, when it was evaluated with respect to gastrointestinal outcomes compared to a non-selective NSAID such as naproxen, shown in the upper panel, there was a statistically significant, greater than 50 percent, reduction in gastrointestinal outcomes associated with an agent such as etodolac.
	www.weitzlux.com /vioxx/gieffects_737.html (6342 words)

	Upper GI bleed: an elevated urea: creatinine ratio helped diagnosis. (Site not responding. Last check: 2007-11-03)
		Upper GI bleed: an elevated urea: creatinine ratio helped diagnosis.
		For patients with an upper GI bleed, the volume of blood lost correlates with the height of the value (rho=0.40, p<0.001).
		Mortensen PB, et al: The diagnostic value of serum urea/creatinine ratio in distinguishing between upper and lower gastrointestinal bleeding.
	www.eboncall.org /CATs/2191.html (156 words)

	American Society for Gastrointestinal Endoscopy :: Member Site (Site not responding. Last check: 2007-11-03)
		Acute lower gastrointestinal bleeding (LGIB) is defined as bleeding emanating from a source distal to the ligament of Treitz, that is of recent duration (arbitrarily defined as less than 3 days duration), and that results in instability of vital signs, anemia, and/or need for blood transfusion.
		As many as 11% of patients suspected initially to have lower GI bleeding are ultimately found to have an upper gastrointestinal source.
		Upper endoscopy should be performed when an upper source is suspected or when evaluation of the colon is negative.
	www.asge.org /nspages/practice/patientcare/algobleeding.cfm (2068 words)

	bmj.com Rapid Responses for Douglass et al., 330 (7498) 1000-1001
		Effectiveness of an upper gastrointestinal haemorrhage unit: a prospective analysis of 900 consecutive cases using the Rockall score as a method of risk standardisation.
		Outcome of non-variceal acute upper gastrointestinal bleeding in relation to the time of endoscopy and the experience of the operator.
		Early endoscopy in upper gastrointestinal hemorrhage: associations with recurrent bleeding, surgery, and length of hospital stay.
	bmj.bmjjournals.com /cgi/eletters/330/7498/1000 (1173 words)

	Anorectal Dieulafoy's lesion Gupta Ajay, Chabbra Mohnish - Indian J Surg
		Dieulafoy's lesion is a rare but well-recognized cause of life-threatening bleeding from the gastrointestinal tract, especially upper gastrointestinal tract, resulting due to rupture of an exposed submucous artery.
		Dieulafoy's lesion is a well-recognized cause of gastrointestinal bleed mainly involving the upper gastrointestinal tract.
		Awareness of this entity is a must when dealing with a lower gastrointestinal bleed case and proper bowel preparation is necessary for good visualization of the lesion.
	www.indianjsurg.com /article.asp?issn=0972-2068;year=2006;volume=68;issue=6;spage=325;epage=327;aulast=Gupta (1299 words)

	Helicobacter pylori and upper gastrointestinal bleed in heart valve surgery -- Liew and Walesby 13 (6): 637 -- European ...
		Helicobacter pylori and upper gastrointestinal bleed in heart valve surgery -- Liew and Walesby 13 (6): 637 -- European Journal of Cardio-Thoracic Surgery
		Helicobacter pylori and upper gastrointestinal bleed in heart valve surgery
		incidence of Helicobacter pylori infection and upper gastrointestinal
	ejcts.ctsnetjournals.org /cgi/content/abstract/13/6/637 (356 words)

	[No title]
		UPPER GI BLEEDING : Patient must have either (a) history of evident gastrointestinal bleeding on admission (b) a history of having bleed within 10 days of admission.
		Evidence of continued gastrointestinal bleeding will be high pulse rate and low blood presssure with no obvious cause, continued hemetemesis, the passage of fresh melena and failing Hb level more than would be expected by hemodilution.
		This data has revealed the pattern of diseases presenting with upper gastrointestinal bleed and also suggest how we can improve upon immediate management and outcome of such patients in our hospital.
	www.geocities.com /krajesh_shimla/dot.htm (836 words)

	Emergency Medicine
		A nasogastric tube may be inserted to confirm that the source of the bleeding is the upper gastrointestinal tract, but up to 15% of patients will have a false negative aspirate, usually because of pyloric spasticity or occlusion preventing duodenal bleeding from refluxing into the stomach.
		We recommend endoscopy in all patients with an upper gastrointestinal bleed, despite suggestions in the literature that endoscopy might be withheld or delayed in certain populations, such as young adults with improving symptoms and without further bleeding.
		However, repeat therapy carries a higher risk of complications, especially perforation, so we tend to avoid a repeat endoscopy in patients with a persistent massive gastrointestinal bleed, a large ulcer, or an ulcer in a hard-to-reach location, like the curve between the duodenal bulb and the second portion of the duodenum.
	www.emedmag.com /html/pre/gic/consults/091502.asp (2040 words)

	Obscure gastrointestinal bleeding from an ampullary tumour in a patient with a remote history of renal cell carcinoma: ...
		Obscure gastrointestinal bleeding from an ampullary tumour in a patient with a remote history of renal cell carcinoma: A diagnostic conundrum
		The outlined case, which presented as an upper gastrointestinal bleed, is only the eighth such reported case in the English-language literature.
		Diagnosis was made with a side-viewing endoscope, emphasizing the usefulness of this instrument in the investigation of active bleeding from a small bowel source.
	www.pulsus.com /Gastro/12_01/janz_ed.htm (346 words)

	[No title] (Site not responding. Last check: 2007-11-03)
		The higher cost and improved gastrointestinal side-effect profile of the new COX-2 inhibitors must be weighed against the lower cost and equivalent efficacy of the traditional NSAIDs.
		Endoscopic data on the incidence of ulcers with celecoxib was gathered from efficacy studies rather than specifically designed toxicity studies.6,13,14 Of the peer-reviewed studies published to date, the rate of ulceration with celecoxib was similar to that found with placebo.
		Although these showed significantly less gastrointestinal damage on endoscopy with the COX-2 inhibitors, the relevance of these findings to serious clinically significant gastrointestinal events is not known as most people are asymptomatic before presenting with a catastrophic upper gastrointestinal event.
	www.stjames.ie /ClinicalInformation/NationalMedicinesInformationCentre/NMICBulletins/2000/COX-2INHIBITORSNEWNON-STEROIDALANTI-INFLAMMATORYDRUGSVolume6Number52000 (1274 words)

	Gastrointestinal hemorrhage - Wikipedia, the free encyclopedia
		Gastrointestinal hemorrhage can be roughly divided into two clinical syndromes: upper gastrointestinal bleed, characterized by hematemesis and lower gastrointestinal bleed, characterized by melena or hematochezia.
		Other types of gastrointestinal bleeding can include arteriovenous malformation.
		This page was last modified 23:08, 20 May 2005.
	en.wikipedia.org /wiki/Gastrointestinal_hemorrhage (60 words)

	Consensus Recommendations for Managing Patients with Nonvariceal Upper Gastrointestinal Bleeding -- Barkun et al. 139 ...
		Predictors of mortality in patients admitted to hospital for acute upper gastrointestinal hemorrhage.
		Predictors of mortality in hospitalized patients with secondary upper gastrointestinal haemorrhage.
		Risk of persistent or recurrent and intractable upper gastrointestinal bleeding in the era of therapeutic endoscopy.
	www.annals.org /cgi/content/full/139/10/843 (8041 words)

	EBM Syllabi - Critical Care Medicine
		You explain that a recent clinical trial suggests that the risk of upper gastrointestinal bleeding is lower with the use of ranitidine.
		You search Best Evidence that you loaded on the computer in the ICU, using the terms 'Upper GI bleeding' and 'H2 blockers' and find the randomized clinical trial that assesses the risk of upper gastrointestinal bleeding in mechanically ventilated patients receiving sucralfate compared to ranitidine.
		This study also found that the risk of ventilator associated pneumonia, a purported risk with the use of ranitidine, was no different in the groups that received ranitidine compared to the group that received sucralfate.
	www.cebm.utoronto.ca /syllabi/crit/print/therapy.htm (595 words)

	Abstract 068
		We studied the association between these medications and the risk of upper gastrointestinal bleed/perforation in a population-based cohort of 958,397 persons in the United Kingdom between 1993 and 1998.
		Relative risk estimates were adjusted for several factors known to be associated with upper gastrointestinal bleed/perforation.
		Compared to non-users, users of acetaminophen at doses of 2 grams daily or lower did not present an increased risk of upper gastrointestinal complications.
	www.ceife.es /Files/Abstracts/ab_068.html (247 words)

	Vioxx - Vioxx Side Effects - Vioxx Information - Canada Pharmacy - Drugs from Canada
		Gastrointestinal Safety: Upper Endoscopy in Patients With Osteoarthritis: Two identical (US and Multinational) endoscopy studies in a total of 1516 patients were conducted to compare the percentage of patients who developed endoscopically detectable gastroduodenal ulcers with rofecoxib 25 or 50 mg daily, ibuprofen 2400 mg daily, or placebo.
		Minor upper gastrointestinal problems, such as dyspepsia, are common and may also occur at any time during NSAID therapy.
		It has been demonstrated that upper gastrointestinal ulcers, gross bleeding or perforation, caused by NSAIDs, appear to occur in approximately 1% of patients treated for 3 to 6 months, and in about 2 to 4% of patients treated for 1 year.
	www.rxcarecanada.com /Vioxx.asp (5382 words)

Try your search on: Qwika (all wikis)