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Intestinal Bleeding and Laparoscopy

  • Annunziato Tricarico
  • Gabriele Salvatore
  • Gianluca Lanni
  • Raffaele Landi
  • Vincenzo Mandalà
Part of the Updates in Surgery book series (UPDATESSURG)

Abstract

Digestive hemorrhage constitutes a broad chapter in urgent surgical disease, with a high incidence of hospital admission, about 1–3% [1] in some series, and a mortality rate of 10%. Bleeding lesions are various, as well as their sites, signs and initial symptoms. Regarding sites, hemorrhages can originate at any point along the digestive tract. Nonetheless, a classification in upper bleedings (i.e. proximal to the ligament of Treitz) and lower bleedings (i.e. distal to the ligament of Treitz) is justified by the different kind of presentation and incidence of the disease. Upper gastrointestinal bleeding (UGIB) has a global incidence [2] of 80% and the typical signs are hematemesis and/or melena; the most frequent diseases responsible for UGIB include:
  • esophageal varices (25%);

  • peptic ulcer (45%);

  • hemorrhagic gastritis (20%);

  • mallory Weiss syndrome (5%).

Keywords

Small Bowel Esophageal Varix Capsule Endoscopy Intestinal Bleeding Lower Gastrointestinal Bleeding 
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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Suggested Readings

  1. Sauerland S, Agresta F, Bergamaschi R, Borzellino G, Budzynski A, Champault G, Fingerhut A, Isla A, Johansson M, Lundorff P (2006) Laparoscopy for abdominal emergencies. Evidencebased guidelines of the European Association for Endoscopic Surgery. Surg Endosc 20:14–29PubMedCrossRefGoogle Scholar
  2. Agresta F, Ansaloni L, Baiocchi L, Bergamini C, Campanile FB, Carlucci M, Cocorullo G, Corradi A, Franzato B, Lupo M, Mandalà V, Mirabella A, Pernazza G, Piccoli M, Staudacher C, Vettoretto N, Zago M, Lettieri E, Levati A, Pietrini D, Scaglione M, De Masi S, De Placido G, Francucci M, Rasi M, Scaramuzza G, Del Favero AL (2011) Consensus Development Conference of the Società Italiana Chirurgia Endoscopica e nuove tecnologie (SICE); Associazione Chirurghi Ospedalieri Italiani (ACOI); Società Italiana di Chirurgia (SIC); Società Italiana Chirurgia d’Urgenza e Trauma (SICUT), Società Italiana Chirurghi dell’Ospedalit’ Privata (SICOP) and the European Association for Endoscopic Surgery (EAES). In pressGoogle Scholar

Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  • Annunziato Tricarico
    • 1
  • Gabriele Salvatore
  • Gianluca Lanni
  • Raffaele Landi
  • Vincenzo Mandalà
  1. 1.“San Giuliano” Hospital, ASL Na2 NordGiugliano (NA)Italy

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