• The urgency with which GI bleeding is managed is dictated by the rate of bleeding:
– The patient with trace heme-positive stools and without severe anemia can be managed as an outpatient.
– Visible blood requires hospitalization and inpatient evaluation.
– Persistent bleeding or rebleed with hemodynamic instability necessitates ICU admission.
KeywordsTransjugular Intrahepatic Portosystemic Shunt Variceal Bleeding Endoscopic Therapy Gastric Varix Proton Pump Inhibitor Therapy
- 4.Barkun A, Sabbah S, Enns R, et al. The Canadian Registry on Nonvariceal Upper Gastrointestinal Bleeding and Endoscopy (RUGBE): endoscopic hemostasis and proton pump inhibition are associated with improved outcomes in a real-life setting. Am J Gastroenterol. 2004;99:1238–1246.PubMedCrossRefGoogle Scholar