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Upper gastrointestinal bleed

Prevalence
Causes
Clinical features
Investigations
Therapy
Prevention
Prognosis
Prognosis

Death and further rebleeding are common, particularly for
  • inpatients a
  • patients with varices a
Note:
  • One in seven die in hospital (14%: 95% CI: 13% to 15%) and one in six rebleed (18%: 95% CI: 17% to 19%) a
  • One in fifteen die from further bleeding (6.6%: 95% CI: 5.8% to 7.3%) a
  • One in three inpatients who have a GI bleed die in hospital (33%: 95% CI: 29% to 37%) a
  • A third of patients with bleeding varices fail to stop bleeding b half rebleed in the next year b and a third are dead within 2 months (37%: 95% CI: 30% to 45%) a

Expiry date: July 2003
Levels of Evidence used in grading these guides

Author   A   Townsend , CM   Ball
Reviewer   L   Friedman
CAT Writers   A   Townsend , CM   Ball , CJ   Wotton