• Surg. Clin. North Am. · Oct 2018

    Review

    The Acute Upper Gastrointestinal Bleed.

    • David W Nelms and Carlos A Pelaez.
    • General Surgery Residency Program, UnityPoint Health, 1415 Woodland Avenue, Suite 130, Des Moines, IA 50309, USA.
    • Surg. Clin. North Am. 2018 Oct 1; 98 (5): 1047-1057.

    AbstractUpper gastrointestinal bleeding (UGIB), defined as intraluminal hemorrhage proximal to the ligament of Treitz, can range from mild and asymptomatic to massive life-threatening hemorrhage. For the purposes of this article, the authors define an acute UGIB to be one that results in new acute symptoms and is, therefore, potentially life-threatening. UGIB requires a systematic approach to evaluation and treatment, similar to the management of a trauma patient. Surgeon involvement in UGIBs remains integral despite the rare need for operative management. Endoscopy is the primary tool for diagnosis and treatment.Copyright © 2018 Elsevier Inc. All rights reserved.

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