SMJ articles in the category "upper gastrointestinal bleeding"

Original Article

Utility of the Shock Index for Risk Stratification in Patients with Acute Upper Gastrointestinal Bleeding

Objectives: Patients with upper gastrointestinal bleeding (UGIB) frequently require hospitalization, and a small but significant percentage of these patients have adverse outcomes. Risk-scoring tools can help clinicians organize care and make predictions about outcomes. The shock index (heart rate divided by systolic blood pressure) has been used in multiple acute…

Posted in: risk stratification 4 shock index 2 upper gastrointestinal bleeding 3

Review Article

When Should a Patient with a Nonvariceal Upper Gastrointestinal Bleed Be Fed?

Nonvariceal upper gastrointestinal hemorrhage is a common cause for admission to the intensive care unit. Most patients are prohibited from oral or enteral feeding for 72 hours despite different risks for rebleeding. Fasting is believed to improve the ability to control intragastric pH, stabilize clots, and reduce the risk of…

Posted in: nutrition 12 risk 3 upper gastrointestinal bleeding 3

Case Report

Gastric MALT Lymphoma in the Absence of Helicobacter pylori Infection Presenting as an Upper Gastrointestinal Hemorrhage

Gastric MALT lymphoma is almost exclusively a sequelae of Helicobacter pylori infection and rarely presents with profuse bleeding. Gastric mucosa is not normally thought to contain lymphoid tissue, yet in the presence of H pylori reactive lymphoid follicles form which are possibly throught to predispose the patient to developing lymphoma….

Posted in: endoscopy 10 radiation therapy 4 upper gastrointestinal bleeding 3
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