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The initial evaluation of patients with acute upper GI bleeding involves an assessment of hemodynamic stability and resuscitation if necessary. Diagnostic studies (usually endoscopy) follow, with the goals of diagnosis, and when possible, treatment of the specific disorder.
If you have an upper GI bleed, you will be given an IV drug known as a proton pump inhibitor (PPI) to suppress stomach acid production. Once the source of the bleeding is identified, your doctor will determine whether you need to continue taking a PPI.
Guidelines recommend high-dose proton pump inhibitor treatment for the first 72 hours post-endoscopy because this is when rebleeding risk is highest. Deciding when to restart...
GI X-rays take images of your upper or lower digestive tract to check for signs of a bleed or other conditions. The tests use a barium contrast solution that makes it easier to see the digestive tract on the X-ray. Upper endoscopy is a procedure to examine symptoms of an upper GI bleed.
Identify patients with upper gastrointestinal bleeding based on their clinical history and presentation. Determine the etiology of upper gastrointestinal bleeding using diagnostic tools. Apply best practices and evidence-based guidelines when evaluating and treating a patient with upper gastrointestinal bleeding.
Doctors can stop or control upper GI bleeding with medications or use heat or surgery to seal wounds. Treating the underlying condition can then prevent further bleeding.
Recurrent ulcer bleeding is treated with repeat endoscopic therapy, with subsequent bleeding managed by interventional radiology or surgery. Recurrent variceal bleeding is generally treated with transjugular intrahepatic portosystemic shunt.