Gastrointestinal Hemorrhage on the Intensive Care Unit

  • S. J. Thomson
  • M. L. Cowan
  • T. M. Rahman
Conference paper


Gastrointestinal bleeding in the critical care environment is a relatively common clinical event with an incidence of approximately 100/100,000 population per year in both the UK and the USA [1, 2]. Of these bleeding events, 14% occur in patients already hospitalized. Gastrointestinal bleeding can be the primary reason for admission or can develop as a secondary co-morbid factor. Patients with this complication can have an increased length of stay on the intensive care unit (ICU) and up to a four-fold rise in mortality [3]. This chapter will describe the nature of gastrointestinal bleeding in critical care, the etiologies and risk factors that may predispose to gastrointestinal bleeding, and the variety of therapeutic options available to the clinician. Upper gastrointestinal stress-related mucosal disease, variceal hemorrhage, and lower gastrointestinal bleeding will be considered separately.


Gastrointestinal Bleeding Variceal Bleeding Endoscopic Therapy Hepatic Venous Pressure Gradient Bleeding Peptic Ulcer 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science + Business Media Inc. 2008

Authors and Affiliations

  • S. J. Thomson
    • 1
  • M. L. Cowan
    • 2
  • T. M. Rahman
    • 2
  1. 1.Department of Intensive CareSt George’s HospitalLondonUK
  2. 2.Department of GastroenterologySt George’s HospitalLondonUK

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