A 60 years old physician known to have liver cirrhosis presented with anemia. He had esophageal varices which were banded few months ago with total variceal obliteration.
Jul 02, 2015
A 60 years old physician known to
have liver cirrhosis presented with
anemia. He had esophageal varices
which were banded few months ago
with total variceal obliteration.
Helicobacter disease
NSAIDS
Physiologic stress
Excess gastric acid
Common in patients who are hospitalized for life-threatening non bleeding illness
Primary ulcer prophylaxis with anti-secretory medications are recommended in such patients
Although congestive gastropathy is common in patients with portal hypertension, its uncommon cause of severe bleeding in such patients.
Usually occurs in patients with Liver Cirrhosis and systemic sclerosis
Treated by endoscopic coagulation
Linear mucosal ulcerations resulting from forceful vomiting causing gastric mucosal tear.
Hiatal hernia is an important predisposing factor.
Dilated aberrant submucosal vessel that erodes overlying epithelium in absence of primary ulcer.
Usually occur in male patients with comorbidities including CVD, CKD, alcohol and NSAIDS abuse.
Should be considered in any patients with upper GI bleeding and recent history of biliary tract interventions and cholangiocarcinoma
The classic triad: biliary colic, obstructive jaundice and GI bleeding.
Usually represents advanced stage, with mucosal ulceration
Suspected in patients with upper GI bleeding and history of thoracic and abdominal aortic aneurysm.