gastrointestinal hemorrhage and occult gastrointestinal bleeding

... their carers Management of acute upper and lower gastrointestinal bleeding 1.3 definitions Upper and lower gastrointestinal bleeding Upper gastrointestinal bleeding (or haemorrhage) is that originating ... prevent gastric variceal rebleeding 33 Management of acute upper and lower gastrointestinal bleeding Management of lower gastrointestinal bleeding Lower gastrointestinal bleeding of modest severity ... Management of acute upper and lower gastrointestinal bleeding 2 Assessment and triage 2.1 assessing gastrointestinal bleeding in the community The assessment of GI bleeding from any cause in...

Ngày tải lên: 17/03/2014, 15:20

Ngày tải lên: 19/01/2014, 21:20

... Sources of Gastrointestinal Bleeding UPPER GASTROINTESTINAL SOURCES OF BLEEDING (Table 42-1) The annual incidence of hospital admissions for upper GIB (UGIB) in the United States and Europe is ... predictors of rebleeding and death in patients hospitalized with UGIB include increasing age, comorbidities, and hemodynamic compromise (tachycardia or hypotension) Table 42-1 Sources of Bleeding in ... hypotension) Table 42-1 Sources of Bleeding in Patients Hospitalized for Upper GI Bleeding in Years 2000–2002 Sources of Bleeding Proportion of Patients, % Ulcers 31–59 Varices 7–20 Mallory-Weiss tears...

Ngày tải lên: 06/07/2014, 15:21

... annual rebleeding rate of ~10% in high-risk patients (i.e., a recent bleeding ulcer) Combination of a coxib and PPI provides a further significant decrease in ulcers and recurrent bleeding and should ... recurrent bleeding focuses on the three main factors in ulcer pathogenesis, H pylori, NSAIDs, and acid Eradication of H pylori in patients with bleeding ulcers decreases rates of rebleeding to ... designed to sustain intragastric pH > and enhance clot stability, decreases further bleeding (but not mortality), in patients with high-risk ulcers (active bleeding, nonbleeding visible vessel, adherent...

Ngày tải lên: 06/07/2014, 15:21

... massive, and often from the right colon; minor and occult bleeding is not characteristic Clinical reports suggest that bleeding colonic diverticula stop bleeding spontaneously in ~80% of patients and ... alcoholics), and hemobilia and hemosuccus pancreaticus (bleeding from the bile duct or pancreatic duct) SMALL-INTESTINAL SOURCES OF BLEEDING Small-intestinal sources of bleeding (bleeding from ... vasculitis, and aortocolic fistulas In children and adolescents, the most common colonic causes of significant GIB are inflammatory bowel disease and juvenile polyps Diverticular bleeding is...

Ngày tải lên: 06/07/2014, 15:21

... beneficial in cases of milder bleeding for management decisions Patients with major bleeding and high-risk endoscopic findings (e.g., varices, ulcers with active bleeding or a visible vessel) ... algorithm for patients with acute upper gastrointestinal bleeding Recommendations on level of care and time of discharge assume patient is stabilized without further bleeding or other concomitant medical ... low-risk lesions (e.g., clean-based ulcers, nonbleeding Mallory-Weiss tears, erosive or hemorrhagic gastropathy) who have stable vital signs and hemoglobin, and no other medical problems, can be discharged...

Ngày tải lên: 06/07/2014, 15:21

... persistent bleeding requiring repeated transfusions OCCULT GIB Occult GIB is manifested by a positive test for fecal occult blood or irondeficiency anemia Evaluation of a positive test for fecal occult ... obscure gastrointestinal bleeding Am J Gastroenterol 100:2407, 2005 [PMID: 16279893] Bibliography Cook DJ et al: A comparison of sucralfate and ranitidine for the prevention of upper gastrointestinal ... in 26% and 56% of patients, respectively However, lack of control of the capsule prevents its manipulation and full visualization of the intestine; in addition, tissue cannot be sampled and therapy...

Ngày tải lên: 06/07/2014, 15:21

... - Xuất huyết dày-ruột (lower gastrointestinal tract bleeding) : xảy phần xa so với tá tràng - Xuất huyết không rõ nguồn (obscure bleeding) : để xuất huyết hiển lộ đường dày-ruột, ... dày-ruột, đánh giá ban đầu (bao gồm nội soi chẩn đoán) xác định nguồn xuất huyết - Xuất huyết ẩn (occult bleeding) : Loại xuất huyết không hiển lộ phát lúc thăm dò tìm nguyên nhân thiếu máu thiếu sắt ... màu sắc phân, hữu ích Do máu cặn lại đại tràng, phân Hemoccult dương tính thời gian sau xuất huyết cấp tính dừng lại, không thiết kết Hemoccult âm tính trước xuất viện Một xác lập bệnh nhân không...

Ngày tải lên: 13/07/2014, 15:20

... ĐƯỢC SỬ DỤNG ĐỂ LÀM NGỪNG XUẤT HUYẾT DO GIÃN TĨNH MẠCH THỰC QUẢN (VARICEAL BLEEDING) ? Cho truyền tĩnh mạch octreotide (Sandostatine) làm hạ áp lực tĩnh mạch cửa ngăn ngừa tái xuất huyết nhập viện ... chứng tỏ làm giảm lần nguy loét xuất huyết Các chất ức chế chọn lọc COX-2 (COX2-2 selective prostaglandin inhibitor) (Celebrex) liên kết với loét nhiều so với AINS cổ điển 13/ NHỮNG NGUỒN XUẤT HUYẾT ... tiêm truyền liên tục 8mg/giờ 72 giờ, sử dụng để thay omeprazole Có vài cớ cho thấy octreotide (Sandostatine) làm giảm tỷ lệ tái xuất huyết xuất huyết dày-ruột có nguồn gốc tăng áp tĩnh mạch cửa...

Ngày tải lên: 13/07/2014, 16:20

... AST 15, ALT 14, Alkaline phophatase 49, PTT 27.6 Chuẩn bệnh: Chảy máu phần phận tiêu hoá (Upper Gastrointestinal bleed), bị lở bao tử có lẽ uống thuốc (nonsteroid) Bệnh nhân tiếp tục truyền thuốc...

Ngày tải lên: 13/07/2014, 20:20

... channels in the submucosa Discussion Lower gastrointestinal bleeding is a frequent cause of hospital admissions Common causes of lower gastrointestinal bleeding are diverticulae, vascular ectasia, ... lower gastrointestinal hemorrhage Am J Gastroenterol 1995, 90:496-497 Iredale JP, Ridings P, McGinn FP, Aurthur MJP: Familial and idiopathic colonic varices: an unusual cause of lower gastrointestinal ... Gastroenterology, Sanjay Gandhi Post-graduate Institute of Medical Sciences, Lucknow 226014, India Authors’ contributions RPK and RKS were involved in conceiving the study and drafting the manuscript...

Ngày tải lên: 11/08/2014, 03:21

... channels in the submucosa Discussion Lower gastrointestinal bleeding is a frequent cause of hospital admissions Common causes of lower gastrointestinal bleeding are diverticulae, vascular ectasia, ... lower gastrointestinal hemorrhage Am J Gastroenterol 1995, 90:496-497 Iredale JP, Ridings P, McGinn FP, Aurthur MJP: Familial and idiopathic colonic varices: an unusual cause of lower gastrointestinal ... Gastroenterology, Sanjay Gandhi Post-graduate Institute of Medical Sciences, Lucknow 226014, India Authors’ contributions RPK and RKS were involved in conceiving the study and drafting the manuscript...

Ngày tải lên: 11/08/2014, 07:20

... antagonists and placebo and found to reduce the risk for continued bleeding or rebleeding The drugs were efficacious for peptic ulcer bleeding and showed a trend toward efficacy for non-peptic ulcer bleeding ... while improving outcomes and the cost-effective management of patients at high and low risk of rebleeding [11] Pro’s response: Defining the indication Yaseen Arabi and Bandar Al Knawy Octreotide ... variceal bleeding [7] In patients with bleeding from portal hypertensive gastropathy, octreotide was found to be more effective than vasopressin and omeprazole in achieving complete bleeding...

Ngày tải lên: 12/08/2014, 23:24

... 0,0001) and bleeding (p = 0,001) There was a statistically significant difference between the control group and the standard surgery group in terms of duration of leakage (p = 0,002) and bleeding ... AK, NGS, TK and GB conceived of the study, and participated in its design and coordination and helped to draft and performed the statistical analysis ÇB carried out the macroscopic and microscopic ... and a compress was applied and continuation of the air leakage and bleeding was monitored every seconds These durations were recorded The procedure was terminated at the 100 second In the standard...

Ngày tải lên: 10/08/2014, 09:23

... cancer and small intestinal cancer [19-20] The standard procedure for investigating the source of IDA among men and postmenopausal women is to rule out gastrointestinal tract pathology and a nutritional ... 0.01), and lower mean corpuscular volume (p < 0.002) The standard diagnostic procedure for men and postmenopausal women with iron deficiency is to investigate gastrointestinal tract (upper and lower) ... Synchronous upper and lower gastrointestinal endoscopy is an effective method of investigating iron-deficiency anaemia Br J Surg 1997; 84: 1725–8 Rockey DC Occult gastrointestinal bleeding Gastroenterol...

Ngày tải lên: 25/10/2012, 11:18

... WBC number on day and 11 (80% and 88% respectively) in mice Recovery of WBC count started on day and day 11 in all treatment groups and returned back to the normal level on day and day 14 in NS ... significantly increased the number of blood vessel and PCNA-positive cell in both the gastric (Fig 2A and 2B respectively) and duodenal tissues (Fig 3A and 3B respectively) Dosedependent effects were ... Apigenin inhibits VEGF and HIF-1 expression via PI3K/AKT/p70S6K1 and HDM2/p53 pathways FASEB J 2005; 19: 342-53 28 Moallem SA, Hales BF The role of p53 and cell death by apoptosis and necrosis in 4-hydroperoxycyclophosphamide-induced...

Ngày tải lên: 02/11/2012, 10:19

... intensity of expression of the Adh1, Adh3, Adh4 and Aldh1 genes in the GI tract of rats and mice is summarized in Fig and Table Figures and document key findings and Fig documents probe controls Figure ... mice (n ¼ 2), B6.Adh1– ⁄ – (n ¼ 1) [42] and Adh4– ⁄ – (n ¼ 1) [43], were kept under standardized temperature, light and humidity conditions and given food and water ad libitum The B6.Adh1– ⁄ – ... enteric nervous system in PD and found that both Meissner’s and Auerbach’s plexuses were affected already in early stages of disease and terminal axons of postganglionic and preganglionic neurons...

Ngày tải lên: 16/03/2014, 11:20

... absorption, distribution and metabolism of ethanol and its effects on nutrition and hepatic function In Medical and Social Aspects of Ethanol Abuse (Tabakoff, B., Sutker, P.B & Randall, C.L., eds), ... analysis (ISH) Generation of ADH1 and ADH4 specific sense and antisense riboprobes was performed as reported previously [11] The gastrointestinal tract was removed and divided into regions corresponding ... IMAGE PROPLUS software and imported into Adobe PHOTOSHOP v5.5 (Adobe) Color images were transformed into black and white images using a grey-scale function, and brightness and contrast were adjusted...

Ngày tải lên: 23/03/2014, 17:22

... between 550 and 570 Three IDTs were also found in tumors with spindle cell morphology, no mitotic activity and benign clinical behaviors The patients were all female and were all alive and relapsefree ... larger than cm and 15 of them had a metastatic spread A mutation affecting 557 and/ or 558 codons of KIT exon 11 was found in 13 of 15 metastatic tumors and in only two of the nine mutated and not metastatic ... Research and Treatment of Cancer (EORTC) phase I and II studies [29-31] enrolled patients with metastatic GIST and tested the safety of imatinib given at a dose of 400 mg/day or 800 mg/day and investigated...

Ngày tải lên: 18/06/2014, 19:20

... GSRS and QOLRAD, respectively, were as follows: South Africa, 2.7% and 2.7%; Germany, 6.4% and 12.7%; Hungary, http://www.hqlo.com/content/6/1/12 8.8% and 8.8%; Italy, 6.3% and 1.1%; Poland, ... coefficient [ICC]) for Gastrointestinal Symptom Rating Scale (GSRS) and Quality of Life in Reflux and Dyspepsia questionnaire (QOLRAD) domains between visits and Questionnaire and domain Translation ... QOLRAD; (b) correlating the GSRS and the QOLRAD with the SF-36 dimensions; and (c) correlating the GSRS and the QOLRAD with the HAD (except in South Africa) and with clinician-rated severity...

Ngày tải lên: 18/06/2014, 22:20