03.09 GI/GS

03.09 GI/GS [PDF link]: Upper GI bleeding (UGIB), Lower GI bleeding (LGIB)

External links

• Glasgow-Blatchford score: MDCalc

• Rockall score: MDCalc

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More on UGIB

• Dieulafoy's lesion: vascular malformation of an enlarged submucosal blood vessel. Bleeds in the absence of ulcers or erosions.

  • Majority of Dieulafoy’s lesions are found at the lesser curvature, within 6cm of the gastroesophageal junction (GOJ), where blood supply is from the left gastric artery

  • Accounts for 6.5% of UGIBs

  • Ix: endoscopic visualisation

  • Mx: endoscopic coagulation, epinephrine or norepinephrine injection and sclerotherapy, or mechanical banding and clipping