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Gastrointestinal Hemorrhage

  • Michael A. Samotowka
Chapter

Abstract

There are over half a million patients hospitalized annually for gastrointestinal hemorrhage (GIH) in the USA [1]. The overall inpatient mortality rate in the USA is approximately 3 %. The majority of bleeds (~75 %) arise from the upper gastrointestinal tract, defined as proximal to the ligament of Treitz. GIH is most common in the elderly, and this population is prone to having a higher incidence of associated medical comorbidities. In the GIH patient population, 80 % of the mortality is attributable to their associated comorbidities rather than as a direct consequence of their GI hemorrhage. As the elderly population of America continues to expand, it can be expected that the incidence of GI hemorrhage patients will also increase in a proportionate fashion.

Keywords

Upper gastrointestinal hemorrhage Peptic ulcer disease Esophagitis Stress-related mucosal disease Zollinger-Ellison syndrome Mallory-Weiss tear Variceal hemorrhage Capsule endoscopy Push enteroscopy Double-balloon enteroscopy Angiodysplasia Diverticular disease Lower gastrointestinal hemorrhage Small bowel hemorrhage Acute mesenteric ischemia Proctitis 

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Authors and Affiliations

  1. 1.Trauma/Surgical Critical CareCleveland ClinicClevelandUSA

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