Upper gastrointestinal bleeding

Surg Clin North Am. 2014 Feb;94(1):43-53. doi: 10.1016/j.suc.2013.10.004.

Abstract

Upper gastrointestinal (GI) bleeding remains a commonly encountered diagnosis for acute care surgeons. Initial stabilization and resuscitation of patients is imperative. Stable patients can have initiation of medical therapy and localization of the bleeding, whereas persistently unstable patients require emergent endoscopic or operative intervention. Minimally invasive techniques have surpassed surgery as the treatment of choice for most upper GI bleeding.

Keywords: Endoscopy; Gastroesophageal varices; Ulcer disease; Upper gastrointestinal bleeding.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Aortic Diseases / diagnosis
  • Aortic Diseases / etiology
  • Aortic Diseases / surgery
  • Diagnosis, Differential
  • Duodenal Diseases / diagnosis
  • Duodenal Diseases / etiology
  • Duodenal Diseases / surgery
  • Embolization, Therapeutic
  • Endoscopy, Gastrointestinal
  • Esophageal and Gastric Varices / diagnosis
  • Esophageal and Gastric Varices / etiology
  • Esophageal and Gastric Varices / surgery
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / etiology*
  • Gastrointestinal Hemorrhage / surgery*
  • Hemobilia / diagnosis
  • Hemobilia / etiology
  • Hemobilia / surgery
  • Humans
  • Intestinal Fistula / diagnosis
  • Intestinal Fistula / etiology
  • Intestinal Fistula / surgery
  • Mallory-Weiss Syndrome / diagnosis
  • Mallory-Weiss Syndrome / etiology
  • Mallory-Weiss Syndrome / surgery
  • Peptic Ulcer Hemorrhage / diagnosis
  • Peptic Ulcer Hemorrhage / etiology
  • Peptic Ulcer Hemorrhage / surgery
  • Portasystemic Shunt, Transjugular Intrahepatic
  • Stomach Neoplasms / diagnosis
  • Stomach Neoplasms / etiology
  • Stomach Neoplasms / surgery
  • Upper Gastrointestinal Tract / blood supply
  • Upper Gastrointestinal Tract / surgery*
  • Vascular Fistula / diagnosis
  • Vascular Fistula / etiology
  • Vascular Fistula / surgery