True about Upper G.I bleeding:
a. Duodenal ulcer bleed most commonb. H. Pylori has role
c. Proton pump blockers used
d. Surgery always indicated
e. Coma
Ans.
(A) Duodenal ulcer bleed most common; (B) H. Pylori has role; (C) Proton pump
blockers used
• The major causes of UGI Bleed are duodenal ulcer hemorrhage (25%), gastric ulcer, hemorrhage (20%), mucosal tears of the esophagus or fundus (Mallory-Weiss tear), esophageal varices, erosive gastritis, erosive esophagitis, Dieulafoy lesion, gastric varices, gastric cancer, and ulcerated gastric leiomyoma.
• The major causes of UGI Bleed are duodenal ulcer hemorrhage (25%), gastric ulcer, hemorrhage (20%), mucosal tears of the esophagus or fundus (Mallory-Weiss tear), esophageal varices, erosive gastritis, erosive esophagitis, Dieulafoy lesion, gastric varices, gastric cancer, and ulcerated gastric leiomyoma.
• Helicobacter Pylon: H. pylon is the main cause of
uncomplicated peptic ulcer disease.
