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Evaluation & Management of Obscure Gastrointestinal Bleeding (OGIB)
- Source :
- Journal of Bangladesh College of Physicians and Surgeons. 28:167-173
- Publication Year :
- 1970
- Publisher :
- Bangladesh Journals Online (JOL), 1970.
-
Abstract
- Gastrointestinal bleeding is a common entity. Incidence of bleeding has comparatively increased though case fatality is static. Despite improved treatments and better understanding of the underlying pathophysiology of peptic ulcer disease the rising figures of GI bleeding reflect an increasing proportion of elderly population and nonsteroidal anti-inflammatory use. Overall, 5% of all cases of gastrointestinal bleeding fall under the category of Obscure gastrointestinal bleeding (OGIB) in the USA. Obscure gastrointestinal bleeding is defined as bleeding of unknown origin that persists or recurs after an initial negative endoscopic evaluation including colonoscopy and/or upper endoscopy. OGIB can be either Occult (no visible blood) or Overt (Passage of visible blood).Less common aetiologies of GI bleeding e.g. Cameron erosions, Dieulafoy’s lesion, Watermelon stomach that are sometimes difficult to identify at endoscopy often present as OGIB. They need special techniques even thrombolytic therapy to precipitate bleeding for diagnostic angiography. Increased awareness of the existence of such conditions help in rapid and accurate identification of the lesion. Review of such cases will be the focus of this publication. DOI: 10.3329/jbcps.v28i3.6512J Bangladesh Coll Phys Surg 2010; 28: 174-182
- Subjects :
- Gastrointestinal bleeding
medicine.medical_specialty
medicine.diagnostic_test
business.industry
Stomach
Incidence (epidemiology)
Colonoscopy
medicine.disease
Occult
Gastroenterology
Endoscopy
Lesion
medicine.anatomical_structure
Internal medicine
Case fatality rate
medicine
medicine.symptom
business
Subjects
Details
- ISSN :
- 10150870
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Journal of Bangladesh College of Physicians and Surgeons
- Accession number :
- edsair.doi...........ea28c190f640d165183db951e03454b0