Acute Gastrointestinal Bleeding: Diagnosis and Treatment

Description

Acute gastrointestinal (GI) bleeding accounts for over 300,000 hospitalizations per year and has high morbidity and mortality in those who go undiagnosed. In Dr. Karen Kim's Acute Gastrointestinal Bleeding: Diagnosis and Treatment, leading experts in the fields of gastroenterology, surgery, and radiology comprehensively review the pathophysiology, diagnosis, management, and treatment of acute bleeding disorders of the GI tract. The authors break down acute bleeding into upper and lower GI tract sources and provide a differential diagnosis for each disease, evidence-based algorithms for clinical practice, treatment modalities for its management, and standards of care. General approaches to the acute GI bleeding patient are discussed in terms of supportive care, early detection, and determination of upper vs lower GI bleed, when to transfuse, as well as early predictors of morbidity and mortality. The authors outline the many dilemmas faced by physicians in their approach to their patients, such as localization of the bleeding source (upper vs lower), the need and timing for emergency endoscopy, and the timing for radiologic intervention and/or surgery. Authoritative and clinically focused, Acute Gastrointestinal Bleeding: Diagnosis and Treatment offers practicing clinicians-including primary care and emergency physicians, gastroenterologists, and those in clinical training-a comprehensive, up-to-date overview of this extremely common, and sometimes fatal, medical problem. Front Matter....Pages i-xii Front Matter....Pages 1-1 Epidemiology of Acute Gastrointestinal Bleeding....Pages 3-7 Front Matter....Pages 9-9 Nonvariceal Esophageal Bleeding....Pages 11-34 Helicobacter pylori and Peptic Ulcer Disease....Pages 35-56 Medical Therapy for Stress Ulcer Prophylaxis....Pages 57-74 Nonsteroidal Antiinflammatory Drug (NSAID)-Induced Gastropathy....Pages 75-96 Portal Hypertensive Acute Gastrointestinal Bleeding....Pages 97-110 Obscure Causes of Upper Gastrointestinal Bleeding....Pages 111-133 Surgical Approach to Acute Upper Gastrointestinal Bleeding....Pages 135-148 Front Matter....Pages 149-149 Infectious and Inflammatory Causes of Acute Gastrointestinal Bleeding....Pages 151-161 Acute Bleeding from Diverticulosis and Ischemic Colitis....Pages 163-174 Radiation Proctopathy and Anorectal Diseases....Pages 175-198 Obscure Causes of Acute Lower Gastrointestinal Bleeding....Pages 199-218 Surgical Approach to Acute Lower Gastrointestinal Bleeding....Pages 219-231 Radiologic Evaluation and Intervention in the Acute Gastrointestinal Bleed....Pages 233-267 Back Matter....Pages 269-277