Gastrointestinal Bleeding

Mar 1, 2020 Issue
Upper Gastrointestinal Bleeding in Adults: Evaluation and Management [Article]

Common risk factors for upper gastrointestinal bleeding include prior upper gastrointestinal bleeding anticoagulant use, high-dose nonsteroidal anti-inflammatory drug use, and older age. Causes include peptic ulcer bleeding and gastritis, and symptoms include abdominal pain and dizziness. Physical examination includes presence of abdominal tenderness and examination of stool color. Laboratory tests include a complete blood count, basic metabolic panel, coagulation panel, liver tests, and type and crossmatch.

Feb 15, 2020 Issue
Acute Lower Gastrointestinal Bleeding: Evaluation and Management [Article]

Diverticular disease, hemorrhoids, angiodysplasia, infectious colitis, and irritable bowel disease are common sources of lower gastrointestinal bleeding. Find out which patients should undergo colonoscopy and when to refer patients for urgent surgical intervention.

May 15, 2019 Issue
Risk of GI Bleeding Highest with Rivaroxaban, Lower with Apixaban, and Lowest with PPI Cotherapy [POEMs]

Among patients using oral anticoagulants alone, the risk of hospitalization for upper GI tract bleeding is highest with rivaroxaban (Xarelto) and lowest with apixaban (Eliquis).

May 1, 2015 Issue
Increased GI Bleeding After Switch from Warfarin to Dabigatran [POEMs]

The risk of bleeding increases (though remains small) when patients with atrial fibrillation are switched from warfarin to dabigatran to prevent stroke or transient ischemic attack. This study, conducted almost exclusively in male veterans, found an increase in gastrointestinal (GI) bleeding, but not in intracranial bleeds.

Mar 15, 2013 Issue
Evaluation of Occult Gastrointestinal Bleeding [Article]

Occult gastrointestinal bleeding is defined as gastrointestinal bleeding that is not visible to the patient or physician, resulting in either a positive fecal occult blood test, or iron deficiency anemia with or without a positive fecal occult blood test. A stepwise evaluation will identify the caus...

Mar 1, 2012 Issue
Diagnosis and Management of Upper Gastrointestinal Bleeding [Article]

Upper gastrointestinal bleeding causes significant morbidity and mortality in the United States, and has been associated with increasing nonsteroidal anti-inflammatory drug use and the high prevalence of Helicobacter pylori infection in patients with peptic ulcer bleeding. Rapid assessment and resus...

Jun 15, 2010 Issue
International Consensus Group Issues Recommendations for Management of Upper GI Bleeding [Practice Guidelines]

In response to new data that may lead to improved patient outcomes, the International Consensus Upper Gastrointestinal Bleeding Conference Group—a multidisciplinary group of 34 experts from 15 countries—developed international guidelines for managing nonvariceal upper GI bleeding. The guidelines inc...

Nov 1, 2009 Issue
Diverticular Bleeding [Article]

Diverticular bleeding is a common cause of lower gastrointestinal hemorrhage. Patients typically present with massive and painless rectal hemorrhage. If bleeding is severe, initial resuscitative measures should include airway maintenance and oxygen supplementation, followed by measurement of hemoglo...

Oct 1, 2005 Issue
Diverticular Disease: Diagnosis and Treatment [Article]

Diverticular disease refers to symptomatic and asymptomatic disease with an underlying pathology of colonic diverticula. Predisposing factors for the formation of diverticula include a low-fiber diet and physical inactivity. Approximately 85 percent of patients with diverticula are believed to remai...

Apr 1, 2005 Issue
Diagnosis of Gastrointestinal Bleeding in Adults [Article]

The clinical evaluation of gastrointestinal bleeding depends on the hemodynamic status of the patient and the suspected source of the bleeding. Patients presenting with upper gastrointestinal or massive lower gastrointestinal bleeding, postural hypotension, or hemodynamic instability require inpatie...

Pages: 1 2 Next

Email Alerts

Don't miss a single issue. Sign up for the free AFP email table of contents.

Sign Up Now