By Aurora D. Pryor, Theodore N. Pappas, M. Stanley Branch
ISBN-10: 3319406442
ISBN-13: 9783319406442
ISBN-10: 3319406469
ISBN-13: 9783319406466
The newest variation of this article offers a realistic reference for physicians and different wellbeing and fitness care companies taking good care of sufferers with gastrointestinal bleeding. just like the former version, this quantity addresses universal difficulties linked to gastrointestinal bleeding and discusses in a logical and step-wise style applicable concepts for sufferer care. The textual content is dependent in response to the positioning of bleeding, with universal, infrequent and unknown assets being addressed. additionally it is up to date and new chapters targeting the most recent advances in imaging and interventional modalities within the care of sufferers with GI bleeding, in addition to hugely useful displays of normal sufferers obvious in scientific practice.
Written through international popular specialists in gastrointestinal illnesses, Gastrointestinal Bleeding: a realistic method of prognosis and administration, moment Edition is a invaluable source within the administration of gastrointestinal bleeding either for these at present in education and for these already in medical practice.
Read Online or Download Gastrointestinal Bleeding: A Practical Approach to Diagnosis and Management PDF
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Extra info for Gastrointestinal Bleeding: A Practical Approach to Diagnosis and Management
Example text
Etiology Acute gastrointestinal bleeding is a common clinical problem in the USA requiring more than 300,000 hospitalizations annually [9]. It is estimated that Dieulafoy’s lesion comprises less than 5 % of all gastrointestinal bleeding cases [6]. In adults it presents twice more in men than women [10], and can surface in any age group [11]; Fig. 1 Image obtained from Senger et al. demonstrating a Dieulafoy’s lesion in the submucosa. Elastin stain (objective lens ×10) confirms the presence of elastin in the wall (#) alluding to the vessel’s arterial origination [2] 4 Management of Dieulafoy’s Lesions 43 however it more commonly affects those that are 50 and older [8].
Medical literature suggests several theories on the reasons for Dieulafoy’s lesions. The presence of pediatric cases alludes to a possible congenital component [11, 13]. No family linkage has been established, but risk factors such as the usage of nonsteroidal anti-inflammatory drugs (NSAIDs), alcohol, tobacco, or history of peptic ulcer disease have been suggested [2]. The theories of what causes the erosion or an injury to the vessel to initiate the rupture vary; the most prominent three are the following: pulsations of the abnormally large artery may disrupt the mucosa and expose the artery to the gastric contents which in turn may lead to rupture, gastric “wear and tear” promotes thrombosis within the artery leading to necrosis, and age-related atrophy [14].
J Clin Gastroenterol. 1996;22(4):267–71. 7. Lee SD, Kearney DJ. A randomized controlled trial of gastric lavage prior to endoscopy for acute upper gastrointestinal bleeding. J Clin Gastroenterol. 2004;38(10):861–5. 8. Lee EW, Laberge JM. Differential diagnosis of gastrointestinal bleeding. Tech Vasc Interv Radiol. 2004;7(3):112–22. 9. Eisen GM, Dominitz JA, Faigel DO, et al. An annotated algorithmic approach to upper gastrointestinal bleeding. Gastrointest Endosc. 2001;53(7):853–8. 10. Laine L, Jensen DM.
Gastrointestinal Bleeding: A Practical Approach to Diagnosis and Management by Aurora D. Pryor, Theodore N. Pappas, M. Stanley Branch
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