Bleeding Per Rectum lower GI Bleeding Dr. saleh M Al SALAMAH Associate Professor of Surgery Done by: Nawaf al fawaz

Nov 14, 2012

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Outline. DefinitionTypesCausesManagement . Definition. Bleeding distal to the ligament of treitz(4th part of duodenum) to anus. Common but most patients do not require hospital admission.Bleeding stop spontaneously in 90% of patient before transfusion requirements exceed 2 unite.Men more

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Bleeding Per Rectum lower GI Bleeding Dr. saleh M Al SALAMAH Associate Professor of Surgery Done by: Nawaf al fawaz

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GI Bleeding

GI Bleeding. Tintinalli Chapter 74. GI Bleeding. Poor prognostic factors Hemodynamic instability Repeated hematemesis or hematochezia Failure to clear with gastric lavage Older than 60 Coexistent organ system disease. Upper GI Bleed (above ligament of Treitz) Peptic ulcer disease 60%

787 views • 13 slides

Surgical Approach in Lower GI Bleeding

Definition. Lower GI Bleeding Bleeding that originating beyond ligament of Treitz at the junction between the fourth part of duodenum and the proximal jejunumMalaena is a passage of black tarry stools. To produce malaena, 150 to 200ml of blood must be present in the stomach (green vs maroon)He

808 views • 46 slides

Acute GI Bleeding

861 views • 67 slides

RUSH-GI Bleeding

RUSH-GI Bleeding. Arie E Pelta, MD FACS FASCRS Kaplan Medical Center Department of General Surgery Colon & Rectal Surgery. Risk Factors for Morbidity and Mortality in Acute Gastrointestinal Hemorrhage . Age >60 yr Comorbid disease Renal failure Liver disease Respiratory insufficiency

661 views • 40 slides

Basics of GI Bleeding

Basics of GI Bleeding. Ron Thomas, MD Fellow Division of Gastroenterology and Hepatology. Early July on ART 6W…. Overnight admit 69 yo male with recent melena and Hgb to 5 g/dl Prior perforated gastric ulcer with Graham patch Recent hemicolectomy for colonic signet ring adenoCA

636 views • 37 slides

Upper GI Bleeding

Upper GI Bleeding. DDx , Manangement , Treatment. Introduction. Definition: bleeding originating proximal to the ligament of Treitz ( suspensory muscle of duodenum) Incidence: 47 per 100,000 bleeding stops spontaneously in 75% of cases More common in males and the elderly.

2.05k views • 18 slides

Lower GI Bleeding

Lower GI Bleeding. Dr. Thamer . LGI Bleeding : Abnormal hemorrhage into the lumen of the bowel from a source distal to the ligament of Treitz . 95% from the colon . Up to 40% of patients with lower GI bleeding, more than one potential source of hemorrhage is identified. .

825 views • 44 slides

Lower GI Bleeding

Lower GI Bleeding. Presentation. Iron deficiency anaemia PR bleeding Acute colonic bleeding. Bleeding with defecation. History How much? Mixed in with the stool? Colour ? Pain on defecation? Pattern of bleeding – remissions, exacerbations?

439 views • 12 slides

Lower GI Bleeding

Lower GI Bleeding. BY Dr. Waleed M. Abdel Maksoud MBBCh , MS, MD, MRCS (England). Definitions :.

1.02k views • 29 slides

Gi bleeding

Gi bleeding . Angel Qin, MD PGY 3. Objectives. Define GI bleed Common presentations Initial assessment Common causes of UGIB and LGIB Different diagnostic tests and therapeutic options Updates in GI bleeding Practical tidbits along the way. Definitions. Acute GI bleed

623 views • 36 slides

Upper GI Bleeding

Upper GI Bleeding. Tad Kim, M.D. UF Surgery tad.kim@surgery.ufl.edu (c) 682-3793; (p) 413-3222. Overview. Definitions Initial Patient Assessment ABC & Resuscitation Differential Diagnosis Identify the Source & Stop the Bleeding History & Physical Endoscopy & Potential Complications

384 views • 12 slides

Gi bleeding

Gi bleeding. Angel Qin, MD PGY 3. Objectives. Define GI bleed Common presentations Initial assessment Common causes of UGIB and LGIB Different diagnostic tests and therapeutic options Updates in GI bleeding Practical tidbits along the way. Definitions. Acute GI bleed

865 views • 36 slides

Lower GI Bleeding

Lower GI Bleeding. 4/6/11. LGIB. Distal to ligament of Treitz Annual incidence rate of 20.5/100,000 Male predominance Incidence of significant bleeding increases with age May suggest changes associated with the small intestine and colon

585 views • 23 slides

GI Bleeding Scan

GI Bleeding Scan. รศ.พญ. มลฤดี เอกมหาชัย หน่วยเวชศาสตร์นิวเคลียร์ ภาควิชารังสีวิทยา คณะแพทยศาสตร์ มหาวิทยาลัยเชียงใหม่. GI Bleeding. 1. Upper GI bleeding 2. Lower GI bleeding. Diagnostic Procedures. 1. Endoscopic examination 2. Selective angiography 3. GI bleeding scan.

1.32k views • 60 slides

Lower GI bleeding therapy: the endoscopist

Lower GI bleeding therapy: the endoscopist. Giorgio Saracco, MD Dpt Gastroenterology Molinette Hospital, Turin. Radiation colitis. CMV colitis. Ischemic colitis. NSAIDs colitis. C. Difficile colitis. Salmonella colitis. Rectal ulcer. ULCERATIVE COLITIS. ENDOSCOPIC TREATMENTS.

627 views • 21 slides

Upper GI bleeding

Upper GI bleeding. UGI bleding. ONE syndrome: a group of diseases. Definitions. Intraluminal, exteriorised bleeding Hematemesis – above the angle of Treitz Melena – above the ileo-cecal valve Hematochezia – bellow the spelnic flexure. A major health problem.

1.3k views • 81 slides

GI bleeding

GI bleeding. Mackay Memorial Hospital Department of Internal Medicine Division of Gastroenterology R4 陳泓達. 97/6/22. GI Bleeding UGI bleeding Peptic ulcer disease Variceal bleeding LGI bleeding. UGI bleeding: 5 times more common than LGI bleeding. Men > Women Elderly persons.

1.34k views • 65 slides

GI BLEEDING

GI BLEEDING. Brad Martin, MD c/o Jason De Roulet, MD July 18, 2012. OBJECTIVES. Define some common terms associated with GI bleeds Review the ways patients commonly present with GI bleeds Review how to assess patients presenting with GI bleed

1.09k views • 32 slides

Lower GI Bleeding

Lower GI Bleeding. Dr. M. Ghanem. A less common reason for hospitalization 95%  from the colon Etiology usually age related. Presentation. Hematochezia (bright red blood, clots) May present with melena Usually less severe than UGI. Etiology. Diagnosis. Diagnosis. Colonoscopy.

557 views • 21 slides

Finding Sources of Obscure Lower GI Bleeding

Finding Sources of Obscure Lower GI Bleeding. William Kwan. Causes of Hematochezia. COLONIC BLEEDING (95%) SMALL BOWEL BLEEDING (5%) Diverticular disease 30-40 Angiodysplasias Ischemia 5-10 Erosions or ulcers (K, NSAIDs) Anorectal disease 5-15 Crohn's disease

332 views • 16 slides

RUSH-GI Bleeding

RUSH-GI Bleeding. Arie E Pelta, MD FACS FASCRS Kaplan Medical Center Department of General Surgery Colon & Rectal Surgery. Risk Factors for Morbidity and Mortality in Acute Gastrointestinal Hemorrhage. Age >60 yr Comorbid disease Renal failure Liver disease Respiratory insufficiency

553 views • 40 slides

Bleeding Disorders By Dr Haider Al Shamaa

Bleeding Disorders By Dr Haider Al Shamaa. Bleeding disorders Bleeding disorder classifying to: 1-vascular walls alterations: This due scurvey, infections, allergy or autoimmune diseases, and hereditary defects of collagen fibers.

115 views • 10 slides

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