Abstract
Recognizing unusual sources of upper GI bleeding is important in evaluating individual patients who present diagnostic dilemmas and in promptly managing patients with uncommon but potentially catastrophic bleeding sources. As upper GI bleeds are relatively common, the probability of encountering a patient with an unusual source of bleeding is likely at some point; therefore, understanding the diagnosis and management of these uncommon pathologic processes is essential in caring for patients with upper gastrointestinal bleeding.
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Selinger CP and Ang YS. Gastric antral vascular ectasia (GAVE): an update on clinical presentation, pathophysiology and treatment. Digestion 2008;77(2):131–137.
Sebastian S, O’Morain CA and Buckley MJ. Review article: current therapeutic options for gastric antral vascular ectasia. Aliment Pharmacol Ther 2003;18(2):157–165.
Burak KW, Lee SS and Beck PL. Portal hypertensive gastropathy and gastric antral vascular ectasia (GAVE) syndrome. Gut 2001;49(6):866–872.
Manning RJ. Estrogen/progesterone treatment of diffuse antral vascular ectasia. Am J Gastroenterol 1995;90(1):154–156.
McCormick PA, Ooi H and Crosbie O. Tranexamic acid for severe bleeding gastric antral vascular ectasia in cirrhosis. Gut 1998;42(5):750–752.
Nardone G, Rocco A, Balzano T and Budillon G. The efficacy of octreotide therapy in chronic bleeding due to vascular abnormalities of the gastrointestinal tract. Aliment Pharmacol Ther 1999;13(11):1429–1436.
Lemos DW, Raffetto JD, Moore TC and Menzoian JO. Primary aortoduodenal fistula: a case report and review of the literature. J Vasc Surg 2003;37(3):686–689.
Bergqvist D, Bjorck M and Nyman R. Secondary aortoenteric fistula after endovascular aortic interventions: a systematic literature review. J Vasc Interv Radiol 2008;19(2 Pt 1):163–165.
Montgomery RS and Wilson SE. The surgical management of aortoenteric fistulas. Surg Clin NA 1996;76(5):1147–1157.
Kim LT, Heldmann M and Turnage RH. Acute gastrointestinal hemorrhage. In: WM Michael (ed.), Greenfield’s surgery. Philadelphia: Lippincott, Williams, and Wilkins; 2006, pp. 1062–1065.
Sears SJ, Scheltinga MR. Primary aortoenteric fistula. Br J Surg 2005;92:143–152.
Witz M, Lehmann JM, Shnaker A, et al. Secondary aortoduodenal fistula. Isr Med Assoc J 2002;4(10):824.
Busuttil RW, Rees W, Baker JD and Wilson SE. Pathogenesis of aortoduodenal fistula: experimental and clinical correlates. Surgery 1979;85(1):1–13.
Kiernan PD, Pairolero PC and Hubert JP, Jr., et al. Aortic graft-enteric fistula. Mayo Clin Proc 1980;55(12):731–738.
Goshtasby P, Henriksen D, Lynd C and Fielding LP. Recurrent aortoenteric fistula: case report and review. Curr Surg 2005;62(6):638–643.
Burks JA, Jr., Faries PL, Gravereaux EC, et al. Endovascular repair of bleeding aortoenteric fistulas: a 5-year experience. J Vasc Surg 2001;34(6):1055–1059.
Shapiro M, Addis MD, Ellozy SH, et al. Successful endovascular treatment of bleeding aortoenteric fistula: a case report. Ann Vasc Surg 2006;20(6):817–819.
Clouse RE, Costigan DJ, Mills BA and Zuckerman GR. Angiodysplasia as a cause of upper gastrointestinal bleeding. Arch Intern Med 1985;145(3):458–461.
Gunnlaugsson O. Angiodysplasia of the stomach and duodenum. Gastrointest Endosc 1985;31(4):251–254.
Katz PO and Salas L. Less frequent causes of upper gastrointestinal bleeding. Gastroenterol Clin NA 1993;22(4):875–889.
Moreto M, Figa M, Ojembarrena E and Zaballa M. Vascular malformations of the stomach and duodenum: an endoscopic classification. Endoscopy 1986;18(6):227–229.
Boley SJ, Sammartano R, Adams A, et al. On the nature and etiology of vascular ectasias of the colon. Degenerative lesions of aging. Gastroenterology 1977;72(4 Pt 1):650–660.
Szilagyi A and Ghali MP. Pharmacological therapy of vascular malformations of the gastrointestinal tract. Can J Gastroenterol 2006;20(3):171–178.
Van Cutsem E and Piessevaux H. Pharmacologic therapy of arteriovenous malformations. Gastrointest Endosc Clin NA 1996;6(4):819–832.
Nishiyama R, Kawanishi Y, Mitsuhashi H, et al. Management of pancreatic arteriovenous malformation. J Hepatobiliary Pancreat Surg 2000;7(4):438–442.
Hirai T, Ohishi H, Yamada R, et al. Color Doppler flow imaging of pancreatic arteriovenous malformation. J Ultrasound Med 1995;14(5):393–398.
Uchida E, Aimoto T, Nakamura Y, et al. Pancreatic arteriovenous malformation involving adjacent duodenum with gastrointestinal bleeding: report of a case. J Nippon Med Sch 2006;73(6):346–350.
Ogawa H, Itoh S, Mori Y, et al. Arteriovenous malformation of the pancreas: assessment of clinical and multislice CT features. Abdom Imag 2008;32:215–223.
Chamberlain CE. Acute hemorrhagic gastritis. Gastroenterol Clin NA 1993;22(4):843–873.
Carpenter HA and Talley NJ. Gastroscopy is incomplete without biopsy: clinical relevance of distinguishing gastropathy from gastritis. Gastroenterology 1995;108(3):917–924.
Yardley JH and Hendrix TR. Acute hemorrhagic erosive gastropathy and chronic chemical gastropathy. In: D Basow (ed.), UpToDate. Waltham: UpToDate; 2008, pp.
Choi SC, Choi SJ, Kim JA, et al. The role of gastrointestinal endoscopy in long-distance runners with gastrointestinal symptoms. Eur J Gastroenterol Hepatol 2001;13(9):1089–1094.
Dellinger RP, Levy MM, Carlet JM, et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2008. Crit Care Med 2008;36(1):296–327.
Menguy R. The prophylaxis of stress ulceration. N Engl J Med 1980;302(8):461–462.
Priebe HJ, Skillman JJ, Bushnell LS, et al. Antacid versus cimetidine in preventing acute gastrointestinal bleeding. A randomized trial in 75 critically ill patients. N Engl J Med 1980;302(8):426–430.
Frauenfelder S, et al. Nontraumatic emergent abdominal vascular conditions: advantages of a multidetector row CT. Radiographics 2004; 24(2):481–496.
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Tracy, E., Tuttle-Newhall, J. (2010). Management of Unusual Sources of Upper GI Bleeding. In: Pryor, A., Pappas, T., Branch, M. (eds) Gastrointestinal Bleeding. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1693-8_6
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DOI: https://doi.org/10.1007/978-1-4419-1693-8_6
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