Abstract
Gastrointestinal bleeding is a common problem encountered in the emergency department and in the primary care setting. In cases of hemodynamically unstable patients with acute gastrointestinal bleeding, rapid clinical evaluation and accurate diagnosis are crucial. After adequate resuscitation and hemodynamic stabilization, full upper endoscopy and colonoscopy are effective in distinguishing the cause of the bleeding and treating it with hemostasis. In cases of suspicious small bowel bleeding, angiography, deep enteroscopy, or intraoperative endoscopy should be considered. This review summarizes the overall diagnostic approach to gastrointestinal bleeding with hemodynamically unstable patients with acute gastrointestinal bleeding.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kasper DL, Fauci AS, Hauser SL, Longo DL, Jameson JL, Loscalzo J. Harrison’s principles of internal medicine. New York: McGraw-Hill; 2015.
Gerson LB, Fidler JL, Cave DR, Leighton JA. ACG clinical guideline: diagnosis and management of small bowel bleeding. Am J Gastroenterol. 2015;110:1265–87.
Zuckerman GR, Prakash C. Acute lower intestinal bleeding: part I: clinical presentation and diagnosis. Gastrointest Endosc. 1998;48:606–17.
Mönkemüller K, Neumann H, Meyer F, et al. A retrospective analysis of emergency double-balloon enteroscopy for small-bowel bleeding. Endoscopy. 2009;41:715–7.
Douard R, Wind P, Panis Y, et al. Intraoperative enteroscopy for diagnosis and management of unexplained gastrointestinal bleeding. Am J Surg. 2000;180:181–4.
Leighton JA, Goldstein J, Hirota W, et al. Obscure gastrointestinal bleeding. Gastrointest Endosc. 2003;58:650–5.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Tae, C.H., Shim, KN. (2022). Hemodynamically Unstable Patients with Acute Gastrointestinal Bleeding. In: Chun, H.J., Seol, SY., Choi, MG., Cho, J.Y. (eds) Small Intestine Disease. Springer, Singapore. https://doi.org/10.1007/978-981-16-7239-2_33
Download citation
DOI: https://doi.org/10.1007/978-981-16-7239-2_33
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-16-7238-5
Online ISBN: 978-981-16-7239-2
eBook Packages: MedicineMedicine (R0)