Thomson, J. M.; Armour, D. L.; Fraser, A.; Masson, J.; Mowat, N. A. G.
April 2004
Gut;Apr2004 Supplement 3, Vol. 53, pA76
Academic Journal
The gastrointestinal (GI) bleeding unit has served the adult population of Grampian and the Northern Isles since October 1991. This high dependency unit accepts all with suspected GI haemorrhage and operates a strict management protocol facilitating rapid admission, assessment, and treatment. This study identifies changes in referral patterns, demography and clinical management that influenced outcome over 10 years. Patients requiring transfusion received an average of 3.5 units and a total of 10 974 units of blood were given over 10 years. Referral rates did not change, but the proportion of patients over 70 increased.


Related Articles

  • Applying Classification Trees to Hospital Administrative Data to Identify Patients with Lower Gastrointestinal Bleeding. Siddique, Juned; Ruhnke, Gregory W.; Flores, Andrea; Prochaska, Micah T.; Paesch, Elizabeth; Meltzer, David O.; Whelan, Chad T. // PLoS ONE;9/25/2015, Vol. 10 Issue 9, p1 

    Background: Lower gastrointestinal bleeding (LGIB) is a common cause of acute hospitalization. Currently, there is no accepted standard for identifying patients with LGIB in hospital administrative data. The objective of this study was to develop and validate a set of classification algorithms...

  • Endoscopic clipping versus inlection and thermo-coagulation in the treatment of non-variceal upper gastrointestinal bleeding: a meta-analysis. Sung, Joseph J. Y.; Tsoi, Kelvin K. F.; Lai, Larry H.; Wu, Justin C. Y.; Lau, James Y. W. // Gut;Oct2007, Vol. 56 Issue 10, p1364 

    Background: Hemoclips, injection therapy and thermocoagulation (heater probe or electrocoagulation) are the most commonly used types of endoscopic hemostasis for the control of non-variceal gastrointestinal bleeding. Aim: To compare the efficacy of hemoclips versus injection or thermocoagulation...

  • Impact of Anticoagulation on Rebleeding Following Endoscopic Therapy for Nonvariceal Upper Gastrointestinal Hemorrhage. Wolf, Anne T.; Wasan, Sharmeel K.; Saltzman, John R. // American Journal of Gastroenterology;Feb2007, Vol. 102 Issue 2, p290 

    OBJECTIVE: Endoscopic therapy for nonvariceal upper gastrointestinal hemorrhage achieves hemostasis in greater than 90% of patients, but up to 20% rebleed. The aim of this study was to determine the impact of anticoagulation on rebleeding in patients undergoing endoscopic therapy for nonvariceal...

  • Safe, High Quality Care Around the Clock: What will it Take to Get us There? Mourad, Michelle; Adler, Josh // JGIM: Journal of General Internal Medicine;Sep2011, Vol. 26 Issue 9, p948 

    The authors reflect on the article "Excellent hospital care for all: Open and operating 24/7," by H. J. Wong and D. Morra. They argue on the evidence given for mortality differences in weekend admission for acute myocardial infarction (AMI), upper gastrointestinal bleed (UGIB), acute pulmonary...

  • Use of endoscopy for management of acute upper gastrointestinal bleeding in the UK: results of a nationwide audit. Hearnshaw, Sarah A.; Logan, Richard F. A.; Lowe, Derek; Travis, Simon P. L.; Murphy, Mike F.; Palmer, Kelvin R. // Gut;Aug2010, Vol. 59 Issue 8, p1022 

    OBJECTIVES: To examine the use of endoscopy in the UK for acute upper gastrointestinal bleeding (AUGIB) and compare with published standards. To assess the organisation of endoscopy services for AUGIB in the UK. To examine the relationship between outcomes and out of hours (OOH) service...

  • Computed Virtual Chromoendoscopy - Enhanced Videocapsule Endoscopy is of Potential Benefit in Gastric Antral Vascular Ectasia Syndrome Refractory to Endoscopic Treatment. Rimbas, Mihai; Haidar, Andrei; Voiosu, Mihail Radu // Journal of Gastrointestinal & Liver Diseases;Sep2011, Vol. 20 Issue 3, p307 

    Gastric antral vascular ectasia (GAVE) syndrome represents a rare cause of gastrointestinal bleeding. More extensive small-bowel involvement must be excluded in those patients with GAVE syndrome in whom aggressive endoscopic treatment of antral lesions results in lack of control of digestive...

  • Etiology and Adverse Outcome Predictors of Upper Gastrointestinal Bleeding in 589 Patients in Nepal. Shrestha, Umid; Sapkota, Subash // Digestive Diseases & Sciences;Apr2014, Vol. 59 Issue 4, p814 

    Background: Upper gastrointestinal bleeding (UGIB) is a common clinical condition associated with significant morbidity and mortality. Aim: The purpose of this study was to determine the etiology of UGIB and predict the adverse outcome of variceal and non-variceal UGIB by using the parameters of...

  • Natural History and Outcome of Hepatic Vascular Malformations in a Large Cohort of Patients with Hereditary Hemorrhagic Teleangiectasia. Buscarini, Elisabetta; Leandro, Gioacchino; Conte, Dario; Danesino, Cesare; Daina, Erica; Manfredi, Guido; Lupinacci, Guido; Brambilla, Gianfranco; Menozzi, Fernanda; Grazia, Federico; Gazzaniga, Pietro; Inama, Giuseppe; Bonardi, Roberto; Blotta, Pasquale; Forner, PierAngelo; Olivieri, Carla; Perna, Annalisa; Grosso, Maurizio; Pongiglione, Giacomo; Boccardi, Edoardo // Digestive Diseases & Sciences;Jul2011, Vol. 56 Issue 7, p2166 

    Background: Hereditary hemorrhagic telangiectasia is a genetic disease characterized by teleangiectasias involving virtually every organ. There are limited data in the literature regarding the natural history of liver vascular malformations in hemorrhagic telangiectasia and their associated...

  • Octreotide Use in Gastric Antral Vascular Ectasia. Lam, Alice; Lam, Skip SH; Chang, Denis WH; Badov, David // Journal of Pharmacy Practice & Research;Dec2013, Vol. 43 Issue 4, p297 

    Background: Gastric antral vascular ectasia (GAVE) accounts for 4% of non-variceal gastrointestinal bleeding. Argon Plasma Coagulation, an endoscopic therapy, is the treatment of choice, followed by medications and surgery. There is limited evidence for drug therapies, such as corticosteroids,...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics