1 / 6

Upper GI bleed

Upper GI bleed. intro. bleeding originating proximal to the ligament of Treitz More common in men and elderly More common than lower gi bleeds. pathophys. Peptic ulcer disease Erosive Gastritis and Esophagitis Esophageal and Gastric Varices Mallory-Weiss Syndrome malignancy.

dezso
Download Presentation

Upper GI bleed

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Upper GI bleed

  2. intro • bleeding originating proximal to the ligament of Treitz • More common in men and elderly • More common than lower gi bleeds

  3. pathophys • Peptic ulcer disease • Erosive Gastritis and Esophagitis • Esophageal and Gastric Varices • Mallory-Weiss Syndrome • malignancy

  4. Diagnosis • History • Red blood in stool is upper GI bleed 14% of time • Physical Exam • Imaging • endoscopy • Labs • Type and cross • H and H • BUN/Cr > 30 suggests UGI bleed

  5. Treatment • ACBs • In general, blood indicated if no improvement after 2 L of crystalloids • Endoscopy • Protonix, 80 mg bolus, then 8 mg/hr • Octretide, 25-50 mcb bolus, then 25-50 mcg/hr

  6. reference • Tintinalli, Ch. 78

More Related