thatthereadercanquicklyreviewaspeci?ccauseofGIbleedingpriortomanaging ofsuchapatient. Weexpectthistextwillbeusedwiththesameimmediacyasthe diseasespresent. Wehopethatthistextprovidesafoundationforlearningformedicalstudents, interns,residents,andpractitionerswhoencounterthesecriticallyillanddif?cultto managepatients. Durham,NC,USA AuroraD. Pryor Durham,NC,USA TheodoreN. Pappas Durham,NC,USA MalcolmStanleyBranch v Acknowledgment TheeditorswouldliketothankMs. VirginiaCashforherhelpinthepreparation andcoordinationofthetext. vii Contents Part I Upper GI Bleeding Stabilization of Patients Presenting with Upper Gastrointestinal Bleeding. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 ErrolL. BushandMarkL. Shapiro Urgent Workup for Upper Gastrointestinal Bleeding. . . . . . . . . . . 13 LorettaErhunmwunseeandSandhyaA. Lagoo-Deenadayalan Management of Esophageal Variceal Bleeding . . . . . . . . . . . . . . 23 KekiBalsaraandLisaPickett Management of Dieulafoy¿s Lesions . . . . . . . . . . . . . . . . . . . . 31 SerainaK. Faes,BrianR. Untch,ClaireEdwards,JohnTurner, MartinPoleski,andDouglasS. Tyler Management of Bleeding Peptic Ulcer Disease . . . . . . . . . . . . . . 39 JamesC. PadussisandTheodoreN. Pappas Management of Unusual Sources of Upper GI Bleeding. . . . . . . . . 65 ElisabethTracyandJanetTuttle-Newhall Mallory¿Weiss Syndrome. . . . . . . . . . . . . . . . . . . . . . . . . . 79 JacobN. SchroderandMalcolmS. Branch Management of Bleeding Small Bowel Tumors. . . . . . . . . . . . . . 85 KeriE. LunsfordandAuroraD. Pryor Management of Bleeding from the Bile Duct . . . . . . . . . . . . . . . 103 CarlosE. MarroquinandBridgetM. Marroquin Management of Bleeding from the Pancreas. . . . . . . . . . . . . . . .

Step-by-step approach through appropriate diagnosis and management

IntroductionUpper GI BleedingChapter 1. Stabilization of the Patient at Presentation (4 figures, B&W)Chapter 2 Urgent workup for upper gi bleeding (2-3 tables, 4-5 B&W images, 3 color photographs)Urgent upper endoscopyUrgent tagged red cell scanUrgent arteriogram for diagnosisChapter 3 Management of bleeding esophageal varicies (1 table, 2 line drawings, 3 color and 3 B&W photographs)Chapter 4 Management of duilofoy (4-6 illustrations, 2 color photos)Chapter 5 Management of bleeding peptic ulcer disease (2 tables, 6-8 illustrations, 4 photographs)Chapter 6 Management of unusual upper sources of bleedingGAVE, aortoduodenal fistula, av malformation. Hemorrhagic gastritis, (3 illustrations, 3 photographs)Chapter 7 Management of Mallory Weiss tear (2 photographs, 2 illustrations)Chapter 8 Management of bleeding small bowel tumors (4 illustrations, 2 photographs)Chapter 9 Management of bleeding from the bile duct (4 illustrations, 2 B&W photos, 1 color photo)Chapter 10 Management of bleeding from the pancreas (2 illustrations, 2 B&W, 2 color photos)Lower GI BleedingChapter 11 Urgent work up of Lower GI bleeding (2-3 tables, 4-5 B&W images, 3 color photographs)Urgent colonoscopeUrgent arteriogram for diagnosisUrgent tagged red cell scanChapter 12 Management of bleeding hemorrhoids (4 illustrations, 4 photographs)Chapter 13 Management of bleeding colitis (4 photographs)Chapter 14 Management of av malformation of the colon (2 B&W photos, 2 color photos, 1 table)Chapter 15 Management of bleeding colon tumors (4 illustrations, 2 photos)GI Bleeding from an Unknown SourceChapter 16 Occult GI Bleeding: Evaluation of the Guaiac positive patient (5 figures, 2 tables, 2 color photographs)Chapter 17 Obscure GI Bleeding (2 figures, 2 tables, 5 color photographs)Capsule and Double Balloon TechniquesChapter 18 Provocative Angiography (1 figure, 1 table, 5 B&W photographs)Chapter 19 The unstable patient with obscure GI bleeding (1 table, 2 figures, 2 color photographs)Surgical and non-Surgical ManagementIndex