Acute Gastrointestinal Bleeding
Authors: Meeta Prasad Kerlin, Jeffrey L. Tokar
Journal: Annals of Internal Medicine (2013)

In the ClinicAugust 6, 2013Acute Gastrointestinal BleedingMeeta Prasad Kerlin, MD, MSCE, Jeffrey L. Tokar, MD, Deborah Cotton, MD, MPH, Darren Taichman, MD, PhD, and Sankey Williams, MDMeeta Prasad Kerlin, MD, MSCESearch for more papers by this author, Jeffrey L. Tokar, MDSearch for more papers by this author, Deborah Cotton, MD, MPHSearch for more papers by this author, Darren Taichman, MD, PhDSearch for more papers by this author, and Sankey Williams, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-159-3-201308060-01002 SectionsSupplemental MaterialAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Acute gastrointestinal (GI) bleeding is common in both the outpatient setting and the emergency department. Annual U.S. incidence rates over the past decade are approximately 90–108 per 100 000 persons (1), leading to approximately 300 000 hospitalizations annually. Most cases are due to nonvariceal sources of bleeding (e.g., peptic ulcers) and continue to be associated with significant mortality (3–14%) and health economic burden (1–3). The incidence of nonvariceal bleeding may be decreasing in the West largely because of decreased incidence of Helicobacter pylori infection and increased awareness and implementation of ulcer-prevention strategies in users of nonsteroidal anti-inflammatory drugs (NSAIDs) (1). ...References1. Hreinsson JP, Kalaitzakis E, Gudmundsson S, Björnsson ES. Upper gastrointestinal bleeding: incidence, etiology and outcomes in a population-based setting. Scand J Gastroenterol. 2013;48:439-47. [PMID: 23356751] Google Scholar2. Yavorski RT, Wong RK, Maydonovitch C, et al. Analysis of 3,294 cases of upper gastrointestinal bleeding in military medical facilities. 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Feuerstein, MD and Daniel A. Leffler, MD, MS August 6, 2013Volume 159, Issue 3Page: ITC2-1KeywordsAngiographyAnticoagulantsBloodBlood transfusionCoagulopathyColonoscopyEndoscopyGastrointestinal tractHemorrhageLesionsLigation assayMedical risk factorsNSAIDsOutpatientsPeptic ulcersResuscitationSigns and symptomsSmall intestineSurgeryUlcers ePublished: 6 August 2013 Issue Published: August 6, 2013 Copyright & PermissionsCopyright © 2013 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...