There are over half a million patients hospitalized annually for gastrointestinal hemorrhage (GIH) in the USA . The overall inpatient mortality rate in the USA is approximately 3 %. The majority of bleeds (~75 %) arise from the upper gastrointestinal tract, defined as proximal to the ligament of Treitz. GIH is most common in the elderly, and this population is prone to having a higher incidence of associated medical comorbidities. In the GIH patient population, 80 % of the mortality is attributable to their associated comorbidities rather than as a direct consequence of their GI hemorrhage. As the elderly population of America continues to expand, it can be expected that the incidence of GI hemorrhage patients will also increase in a proportionate fashion.
KeywordsUpper gastrointestinal hemorrhage Peptic ulcer disease Esophagitis Stress-related mucosal disease Zollinger-Ellison syndrome Mallory-Weiss tear Variceal hemorrhage Capsule endoscopy Push enteroscopy Double-balloon enteroscopy Angiodysplasia Diverticular disease Lower gastrointestinal hemorrhage Small bowel hemorrhage Acute mesenteric ischemia Proctitis
- 4.Ramakrishnan K, Salinas RC. Peptic ulcer disease. Am Fam Phys. 2007;76(7):1005–12.Google Scholar
- 6.Mercer DW, Robinson EK. Chapter 47. Peptic ulcer disease. In: Townsend CM et al., editors. Sabiston textbook of surgery. 18th ed. Philadelphia: Elsevier Saunders; 2008.Google Scholar
- 20.DelValle J. Zollinger-Ellison syndrome and other neuroendocrine tumors. In: Wolfe MM, editor. Therapy of digestive disorders. New York: Elsevier; 2006. p. 469–84.Google Scholar
- 21.Dolan JP, Norton JA. Chapter 58. Zollinger-Ellison syndrome. In: Yeo CL, editor. Schakelford’s surgery of the alimentary tract. 6th ed. Philadelphia: Elsevier Saunders; 2007.Google Scholar
- 26.Samotowka M. Bariatric surgery complications for the acute care surgeon. Bariatric Surg. 2016; In Press.Google Scholar
- 34.Chavez-Tapia N, et al. Antibiotic prophylaxis for cirrhotic patients with upper gastrointestinal bleeding. Cochrane Database Syst Rev. 2010; 9:CD002907.Google Scholar
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