GI Hemorrhage

  • Clinical presentation: history
  • Work-up: including highlights of physical exam abnormalities, laboratories (hematocrit, platelets, coagulation defects), resuscitation (type & cross)
  • Differential diagnosis: site and etiology
    • Upper vs lower (gastritis, Mallory-weiss, ulcer (peptic or cancer), varices; AVM, cancer, ischemia, diverticular, hemorrhoids, fissure)
    • painful vs painless
    • acute exsanguination vs chronic
  • Role of endoscopy, anoscopy, sigmoidoscopy, colonoscopy: diagnostic, therapeutic
  • Role of angiography: diagnosis, therapeutic
  • Indications for operative treatment: ulcers, Mallory-weiss, colonic
  • Specific treatments:
    • Varices - resuscitate + Pitressin, octreotide or nitroglycerin; SB tube; sclerosis; TIPS, shunt, transplant
    • Operations for peptic ulcer disease - risk, benefits, recurrence

The following topics will NOT be discussed, therefore outside reading is recommended:

  • Treatment of gastric, colon cancer
  • Ano-rectal disease
  • Regional enteritis
  • Trauma
  • Hematobilia

Lecture Notes

GI Bleed pdf (Wu)

Lectures Online

GI Hemorrhage via Mediasite

*Previously recorded lectures may not correspond directly to the most recent faculty lecture, but content should be intact.