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Gastro-intestinal bleeding in disease of the liver and biliary tract

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The American Journal of Digestive Diseases

Summary

Local types of gastro-intestinal bleeding associated with disease of the liver and biliary tract have been distinguished from the systemic.

Hematemesis and melena may occur in conditions other than peptic ulcer, ruptured oesophageal varix or ulcerating malignant disease of the biliary tract.

Frank hemorrhage into the intestinal tract may occur in degenerative lesions of the liver parenchyma (liver atrophy), in aneurysm of the hepatic artery, and in hemorrhagic disease of the gall bladder if the cystic duct remains patent. Bleeding into the upper bowel may occur in gall stones without jaundice and without a demonstrable bleeding point. This bleeding does not recur following cholecystectomy.

Occult bleeding may occur in disease of the liver parenchyma as well as in non-malignant disease of the biliary tract.

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Authors and Affiliations

  1. New York, New York

    S. S. Lichtman M.D.

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  1. S. S. Lichtman M.D.
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From the Medical Division, Service of Dr. George Baehr, of The Mount Sinai Hospital, New York, N. Y.

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Lichtman, S.S. Gastro-intestinal bleeding in disease of the liver and biliary tract. American Journal of Digestive Diseases and Nutrition 3, 439–445 (1936). https://doi.org/10.1007/BF02999175

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  • DOI: https://doi.org/10.1007/BF02999175

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