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

Posted by

By Karen E. Kim

Top specialists within the fields of gastroenterology, surgical procedure, and radiology comprehensively overview the pathophysiology, analysis, administration, and remedy of acute bleeding issues of the GI tract. The authors holiday down acute bleeding into top and decrease GI tract resources and supply a differential prognosis for every ailment, evidence-based algorithms for scientific perform, remedy modalities for its administration, and criteria of care. The authors define the numerous dilemmas confronted through physicians of their method of their sufferers, corresponding to localization of the bleeding resource (upper vs lower), the necessity and timing for emergency endoscopy, and the timing for radiologic intervention and/or surgical procedure.

Show description

Read Online or Download Acute Gastrointestinal Bleeding: Diagnosis and Treatment (Clinical Gastroenterology) PDF

Best digestive organs books

Hepatocellular Carcinoma and Liver Metastases: Diagnosis and Treatment

Liver surgical procedure has made striking growth during the last forty years, evolving from the 1st, timid partial resections within the Nineteen Fifties to latest significant resections and organ transplants. studying the rea sons for this development, one can't yet be inspired by means of the substan tial function that has been performed through radiology.

Cytokine Cell Biology, 2nd Edition

A laboratory advisor to present cytokine examine technique, concentrating on mobilephone biology options for learning cytokines, cytokine receptors, and cytokine pushed procedures. Chapters disguise parts together with human B- telephone responses to cytokines, T cells and cytokines, the new release and quantitation of cell-mediated cytotoxicity, cytokine rules of endothelial cells, assays for leucocyte migration, circulation cytometric detection of intracellular cytokines, improvement of antibodies to cytokines, and quantitative organic assays.

Primo Gastro: The Pocket GI/Liver Companion (Guardino, Primo Gastro: The Pocket GI/Liver Companion)

Designed for fast, effortless point-of-care reference in the course of health facility rounds and within the outpatient hospital, this notebook offers clinically proper details on over a hundred gastrointestinal, pancreatic, and hepatic difficulties and demanding endoscopy issues. each one subject is gifted in easy-to-scan bullet lists and tables on interfacing pages, with headings that come with definition, epidemiology, etiology, pathophysiology, medical manifestations, actual exam, laboratory experiences, diagnostic reports, remedies, issues, and analysis.

Extra info for Acute Gastrointestinal Bleeding: Diagnosis and Treatment (Clinical Gastroenterology)

Example text

Study, the prevalence increased from approximately 10% at age 20 years to approximately 50% at 60 years (14). The mechanism(s) by which H. pylori causes ulcer disease is not entirely clear. The organism does not invade the gastric mucosa, yet it induces an intense local and systemic host inflammatory response. This inflammation enhances mucosal susceptibility to acid injury. In addi- Chapter 3 / Peptic Ulcer Disease 39 tion, it disrupts the control of gastric acid secretion, leading in some patients to high acid and in others to low acid secretion.

Ingestion of strongly acid or alkaline solutions may lead to rapid and severe esophageal injury. Alkali injury leads to liquefaction necrosis and deeper injury than the coagulation necrosis associated with acid ingestion. The mucosa may become friable or deeply ulcerated and may perforate in severe cases. Esophageal injury may be present in the absence of oral lesions (108). Dysphagia, odynophagia, hematemesis, hoarseness, or stridor may develop. Optimal timing of endoscopy is controversial; endoscopy is contraindicated if suspicion of perforation exists.

Sonnenberg A, El-Serag HB. Clinical epidemiology and natural history of gastroesophageal reflux disease. Yale J Biol Med 1999; 72: 81–92. 31. Rockey DC, Koch J, Cello JP, Sanders LL, McQuard K. Relative frequency of upper gastrointestinal and colonic lesions in patients with positive fecal occultblood tests. N Engl J Med 1998; 339: 153–159. 32. Rockey DC, Cello JP. Evaluation of the gastrointestinal tract in patients with iron-deficiency anemia. N Engl J Med 1993; 329: 1691–1695. 33. Webb WA, McDaniel L, Johnson RC, Haymes CD.

Download PDF sample

Rated 4.57 of 5 – based on 13 votes