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

By Karen E. Kim

Univ. of Chicago Hospitals, IL. deals a entire, updated evaluation of acute gastrointestinal bleeding. contains a medical survey of acute GI bleeding, the radiologic method of administration, algorithms, and an emphasis on sufferer administration. Hardcover, book no longer but to be had. DNLM: Gastrointestinal Hemorrhage--diagnosis.

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Pylori is only occasionally helpful (11). Also, selecting age 45 rather than an older age as the cutoff to recommend EGD is debatable. For example, in a recent study from Scotland, 90% of patients younger than 55 years subsequently diagnosed with gastric cancer had at least one “sinister” symptom (dysphagia, weight loss, persistent vomiting, anemia, family history of upper GI cancer, bleeding, previous gastric surgery, or palpable mass) (12). Only five individuals in this age group had “simple” dyspepsia without “sinister” symptoms, and all five already had lymph node metastases at the time of diagnosis.

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. This disrupted secretory physiology, coupled with altered mucosal defense, leads to peptic ulcer disease (15–17). Early studies reported that H. pylori infection occurred in 90–95% of patients with duodenal ulcer and 70–90% of those with gastric ulcers (18–22). However, more recent estimates suggest that the association between H.

Arthritis Rheum 1994; 37: 1404–1407. 114. Cappell MS. Esophageal necrosis and perforation associated with the anticardiolipin antibody syndrome. Am J Gastroenterol 1994; 89: 1241–1245. 34 Stevoff and Hirano 115. Taylor FH, et al. Hemangioma of the esophagus. Ann Thorac Surg 1996; 61: 726–728. 116. DeVault KR, Miller LS, Yaghsezian H, et al. Acute esophageal hemorrhage from a vagal neurilemoma. Gastroenterology 1992; 102: 1059–1061. 117. Cronen P, Snow N, Nightingale D. Aortoesophageal fistula secondary to reflux esophagitis.

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