Abstract
Gastrointestinal (GI) bleeding is an extremely common clinical problem, resulting in significant morbidity, mortality, and cost. There are over 300,000 hospitalizations annually in the United States for GI bleeding (1), accounting for 1–2% of all hospital admissions (2). A conservative estimate of the overall annual cost of hospital admissions for GI bleeding is $900 million (3), but the true overall cost, including outpatient endoscopic and radiologic investigations, clinic visits, and work days lost, far exceeds this figure.
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References
Cutler JA, Mendeloff AI. Upper gastrointestinal bleeding. Nature and magnitude of the problem in the U.S. Dig Dis Sci 1981; 26: 90S – 96S.
Zimmerman HM, Curfman K. Acute gastrointestinal bleeding. AACN Clin Issues 1997; 8: 449–458.
Quirk DM, Barry MJ, Aserkoff B, Podolsky DK. Physician specialty and variations in the cost of treating patients with acute upper gastrointestinal bleeding [see comments]. Gastroenterology 1997; 113: 1443–1448.
Longstreth GF. Epidemiology of hospitalization for acute upper gastrointestinal hemorrhage: a population-based study [see comments]. Am J Gastroenterol 1995; 90: 206–210.
Rockall T, Logan R, Devlin H, et al. Incidence and mortality of acute upper gastrointestinal haemorrhage in the United Kingdom. BMJ 1995; 311: 222–226.
Van Dam J, Brugge WR. Endoscopy of the upper gastrointestinal tract. N Engl J Med 1999; 341: 1738–1748.
Gilbert DA. Epidemiology of upper gastrointestinal bleeding. Gastrointest Endosc 1990; 36: S8–13.
Silverstein FE, Gilbert DA, Tedesco FJ, Buenger NK, Persing J. The national ASGE survey on upper gastrointestinal bleeding. I. Study design and baseline data. Gastrointest Endosc 1981; 27: 73–79.
Wilcox CM, Alexander LN, Straub RF, Clark WS. A prospective endoscopic evaluation of the causes of upper GI hemorrhage in alcoholics: a focus on alcoholic gastropathy. Am J Gastroenterol 1996; 91: 1343–1347.
Czernichow P, Hochain P, Nousbaum JB, et al. Epidemiology and course of acute upper gastro-intestinal haemorrhage in four French geographical areas. Eur J Gastroenterol Hepatol 2000; 12: 175–181.
Silverstein FE, Gilbert DA, Tedesco FJ, Buenger NK, Persing J. The national ASGE survey on upper gastrointestinal bleeding. II. Clinical prognostic factors. Gastrointest Endosc 1981; 27: 80–93.
Longstreth GF. Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 1997; 92: 419–424.
Kollef MH, O’Brien JD, Zuckerman GR, Shannon W. BLEED: a classification tool to predict outcomes in patients with acute upper and lower gastrointestinal hemorrhage [see comments]. Crit Care Med 1997; 25: 1125–1132.
Zuckerman GR, Prakash C. Acute lower intestinal bleeding: part I: clinical presentation and diagnosis. Gastrointest Endosc 1998; 48: 606–617.
Sharma R, Gorbien MJ. Angiodysplasia and lower gastrointestinal tract bleeding in elderly patients. Arch Intern Med 1995; 155: 807–812.
Farrell JJ, Friedman LS. Gastrointestinal bleeding in older people. Gastroenterol Clin North Am 2000; 29: 1–36.
Jensen DM, Machicado GA. Diagnosis and treatment of severe hematochezia. The role of urgent colonoscopy after purge. Gastroenterology 1988; 95: 1569–1574.
Bramley PN, Masson JW, McKnight G, et al. The role of an open-access bleeding unit in the management of colonic haemorrhage. A 2-year prospective study. Scand J Gastroenterol 1996; 31: 764–769.
Rossini FP, Ferrari A, Spandre M, et al. Emergency colonoscopy. World J Surg 1989; 13: 190–192.
Pitcher JL. Therapeutic endoscopy and bleeding ulcers: historical overview. Gastrointest Endosc 1990; 36: S2–7.
Wilcox CM, Clark WS. Causes and outcome of upper and lower gastrointestinal bleeding: the Grady Hospital experience. South Med J 1999; 92: 44–50.
Peura DA, Lanza FL, Gostout CJ, Foutch PG. The American College of Gastroenterology Bleeding Registry: preliminary findings. Am J Gastroenterol 1997; 92: 924–928.
Spiller RC, Parkins RA. Recurrent gastrointestinal bleeding of obscure origin: report of 17 cases and a guide to logical management. Br J Surg 1983; 70: 489–493.
Lewis BS. Small intestinal bleeding. Gastroenterol Clin North Am 2000; 29: 67–95.
Berner JS, Mauer K, Lewis BS. Push and sonde enteroscopy for the diagnosis of obscure gastrointestinal bleeding. Am J Gastroenterol 1994; 89: 2139–2142.
Lahoti S, Fukami N. The small bowel as a source of gastrointestinal blood loss. Curr Gastroenterol Rep 1999; 1: 424–430.
Lewis BS, Kornbluth A, Waye JD. Small bowel tumours: yield of enteroscopy. Gut 1991; 32: 763–765.
Lewis BS, Wenger JS, Waye JD. Small bowel enteroscopy and intraoperative enteroscopy for obscure gastrointestinal bleeding. Am J Gastroenterol 1991; 86: 171–174.
Lewis B. Vascular diseases of the small intestine. In: Gastrointestinal Disease: An Endoscopic Approach. Blackwell Science, Malden, MA, 1997: 541–550.
Lewis B, Mauer K, Harpaz N, et al. The correlation of endoscopically identified vascular lesions to their pathologic diagnosis. Gastrointest Endosc 1993; 39: 344.
Martin L, Max M, Richardson J, et al. Small bowel tumors: continuing challenge. South Med J 1980; 73: 981–985.
Ashley S, Wells S. Tumors of the small intestine. Semin Oncol 1988; 15: 116–128.
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© 2003 Humana Press Inc., Totowa, NJ
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Chung, P., Kim, K.E. (2003). Epidemiology of Acute Gastrointestinal Bleeding. In: Kim, K.E. (eds) Acute Gastrointestinal Bleeding. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-299-9_1
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DOI: https://doi.org/10.1007/978-1-59259-299-9_1
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-4684-9723-6
Online ISBN: 978-1-59259-299-9
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