Digestive Organs

New PDF release: Acute Gastrointestinal Bleeding: Diagnosis and Treatment

By Karen E. Kim

ISBN-10: 1588290042

ISBN-13: 9781588290045

Univ. of Chicago Hospitals, IL. deals a finished, updated evaluate of acute gastrointestinal bleeding. encompasses a scientific survey of acute GI bleeding, the radiologic method of administration, algorithms, and an emphasis on sufferer administration. Hardcover, publication no longer but on hand. DNLM: Gastrointestinal Hemorrhage--diagnosis.

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Extra resources for Acute Gastrointestinal Bleeding: Diagnosis and Treatment

Sample text

Risk factors included total dose exceeding 70 Gy, active infection, and metal stent placement. Eight of 22 patients (36%) receiving more than 80 Gy developed fatal massive hemorrhage. Prior chemotherapy and radiation were associated with acute upper GI bleeding that developed in 7/22 patients (32%) compared with 1/37 (3%) patients without prior treatment. An early report describes four patients who had recently completed radiation therapy for esophageal carcinoma that was complicated by fatal hemorrhage; two of the patients developed aortoesophageal fistulae (85).

14. Norfleet RG, Smith GH. Mallory-Weiss syndrome after cardiopulmonary resuscitation. J Clin Gastroenterol 1990; 12: 569–572. 15. Penston JG, Boyd EJ, Wormsley KG. Mallory-Weiss tears occurring during endoscopy: a report of seven cases. Endoscopy 1992; 24: 262–265. 16. Michel L, Serrano A, Malt RA. Mallory-Weiss syndrome. Evolution of diagnostic and therapeutic patterns over two decades. Ann Surg 1980; 192: 716–721. 17. Kerlin P, Bassett D, Grant AK, Paull A. The Mallory-Weiss lesion: a five-year experience.

For a patient who has not received PPIs or antibiotic treatment, obtaining biopsies of the antrum for histology is adequate. However, in treated patients (as with RUT), antral histology alone may not detect organisms (40,43). Examining additional biopsies obtained from the gastric body may improve diagnostic yield. For this reason the European H. pylori Study Group recommends that, after antibiotic therapy, two biopsies should be obtained from both the antrum and gastric body for histology and testing should be delayed to confirm eradication until at least 4 weeks after completion of treatment (44).

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Acute Gastrointestinal Bleeding: Diagnosis and Treatment by Karen E. Kim


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