UGI bleeding Flashcards
1
Q
Name the 3 main causes of UGI bleeding
A
Varices
Peptic ulcer disease
Gastric erosions (NSAIDs)
2
Q
Name additional causes of UGI bleeding
A
Mallory-Weiss tears Malignant ulcer GIST Uremic gastritis Dieulafoy's disease Curling ulcer Cushing ulcer Aorto-enteric fistula Haemosuccus pancreaticus Telangiectasia AVM
3
Q
Name causes of haemobilia
A
- Iatrogenic
- ERCP
- sphincterotomy
- EUS pancreas biopsy
- hepato-biliary surgery
- percutaneous liver biopsy
- PTC - Trauma
- Neoplasms
- Inflammation
- Infection
- Gallstones
- Haemosuccus pancreaticus
- Severe coagulopathy
4
Q
What are isolated duodenal varices associated with?
A
SMV thrombosis
5
Q
Discuss treatment options for bleeding duodenal varices
A
Octreotide Endoscopic - banding - clips - sclerotherapy TIPS Suture ligation Local resection
6
Q
Discuss the classification system of duodenal varices
A
Non-occlusive = a Occlusive = b Portal collaterals = 1 Predominantly portoportal = 2 Predominantly portosystemic = 3
7
Q
What is a Dieulafoy’s lesion
A
A large tortuous arteriole in gastric submucosa that erodes and bleeds
