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Gastrointestinal hemorhage

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Gastrointestinal hemorhage

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    1. Gastrointestinal hemorhage

    2. Gastrointestinal hemorhage

    4. Upper GI hemorhage : Bleeding point above ligament of treitz .

    6. Gastrointestinal ( GI ) hemorrhage Epidemology USA : Upper GI bleeding ~ 36-102 : 100,000 Male : Female ~ 2 : 1 Acute upper GI bleeding Upper GI bleeding > Lower GI bleeding Mortality - Upper GI bleeding ~ 3.5 - 7 % - Lower GI bleeding ~ 3.6 %

    7. Physiologic change

    9. Risk factors for mortality , morbility .

    10. Risk factors for mortality , morbility .

    11. Severity of bleeding .

    12. Cause of upper GI hemorrhage .

    13. Cause of upper GI hemorrhage .

    14. Cause of upper GI hemorrhage .

    15. Prognosis . 80% self - limited . 20% continue bleed or rebleeding . Mortality rate 30-40%. Surgery required 15-30%.

    16. Physical examination .

    31. Endoscopic features predictive of ulcer rebleeding and mortality .

    37. General management .

    38. Specific management .

    42. Indication for surgery .

    43. Surgical management .

    44. Surgical management .

    48. Variceal bleeding .

    49. Variceal bleeding .

    55. Risk factor of variceal bleeding .

    56. Nature of variceal bleeding .

    57. Treatment of variceal bleeding .

    58. Pharmacological treatment of EVB .

    59. Non selective beta blockers .

    60. Organic nitrate .

    61. Vasopressin .

    62. Somatostatin : - Tetradecapeptide .

    63. Sengstaken blakemore tube (SB).

    64. Endoscopic treatment of EVB .

    66. Surgical treatment of EVB.

    69. Devascularization treatment of EVB.

    70. Transjugular intrahepatic Portasystemic shunt (TIPS).

    71. Transjugular intrahepatic Portasystemic shunt (TIPS).

    72. Liver transplantation .

    73. Line of management in EVB .

    74. Primary prophylaxis . ( In EV never bleeding ).

    75. Treatment of EVB ( Acute variceal bleeding ).

    76. Secondary prophylaxis . (In EV bleeding ).

    77. Line of management in EVB .

    79. Lower GI hemorhage . : Bleeding point below ligament of treitz . Small intestine , Colon , Anorectum .

    92. Thank you for your attention

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