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

By Karen E. Kim

Prime specialists within the fields of gastroenterology, surgical procedure, and radiology comprehensively assessment the pathophysiology, prognosis, administration, and remedy of acute bleeding problems of the GI tract. The authors holiday down acute bleeding into top and decrease GI tract resources and supply a differential prognosis for every illness, evidence-based algorithms for medical perform, therapy modalities for its administration, and criteria of care. The authors define the various dilemmas confronted by means of physicians of their method of their sufferers, similar to localization of the bleeding resource (upper vs lower), the necessity and timing for emergency endoscopy, and the timing for radiologic intervention and/or surgical procedure.

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Featherstone RJ, Camero LG, Khatib R, Shower D, Mungara P. Massive esophageal bleeding in achalasia complicated by cytomegalovirus esophagitis. Ann Thorac Surg 1995; 59: 1021–1022. 54. Schechter M, Pannain VL, de Oliveira AV. Papovavirus-associated esophageal ulceration in a patient with AIDS. AIDS 1991; 5: 238. 55. Smith PD, Eisner MS, Manischewitz JF, Gill VJ, Masur H, Fox CF. Esophageal disease in AIDS is associated with pathologic processes rather than mucosal human immunodeficiency virus type 1.

92. Pasricha PJ, Hill S, Wadwa KS, et al. Endoscopic cryotherapy: experimental results and first clinical use. Gastrointest Endosc 1999; 49: 627–631. 93. Anireddy D, Timberlake G, Seibert D. Dieulafoy’s lesion of the esophagus. Gastrointest Endosc 1993; 39: 604. 94. Scheider DM, Barthel JS, King PD, Beale GD. Dieulafoy-like lesion of the distal esophagus. Am J Gastroenterol 1994; 89: 2080–2081. Chapter 2 / Nonvariceal Bleeding 33 95. Jaspersen D, Komer T, Schorr W, Brennenstuhl M, Hammar CH. Extragastric Dieulafoy’s disease as unusual source of intestinal bleeding.

Biopsies should be taken for both histologic examination and culture, as this increases the diagnostic yield (45,46). Although immunostaining is also available, its diagnostic yield may not exceed that of histology and culture combined (46). Oral or parenteral acyclovir is the first-line agent used in treatment of HSV esophagitis. In a review of 23 cases of HSV esophagitis, 30% were associated with acute upper GI bleeding (45). There are no reports of specific endoscopic or radiographic treatments for bleeding HSV esophagitis.

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