Gastrointestinal Bleeding A Practical Approach to Diagnosis and Mana
The diagnosis and management of gastrointestinal bleeding is multidisciplinary by nature involving surgeons, gastroenterologists and radiologists. Due to various pathologies, it involves upper gut, lower gut and occult bleeding. Gastrointestinal Bleeding:
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Gastrointestinal Bleeding
A Practical Approach to Diagnosis and Management
Gastrointestinal Bleeding
Aurora D. Pryor · Theodore N. Pappas · Malcolm Stanley Branch Editors
Gastrointestinal Bleeding A Practical Approach to Diagnosis and Management
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Editors Aurora D. Pryor Department of Surgery Duke University Medical Center 3116 N. Duke St Durham NC 27704 USA [email protected]
Theodore N. Pappas Department of Surgery Duke University Medical Center 3116 N. Duke St Durham NC 27704 USA [email protected]
Malcolm Stanley Branch Division of Gastroenterology Duke University Medical Center Durham NC 27710 Box 3662 USA [email protected]
ISBN 978-1-4419-1692-1 e-ISBN 978-1-4419-1693-8 DOI 10.1007/978-1-4419-1693-8 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2009943039 © Springer Science+Business Media, LLC 2010 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Cover illustration: Endoscopic view of a bleeding colonic ulcer, courtesy of Malcolm S. Branch Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Preface
Gastrointestinal bleeding is an age-old problem. The original description of gastrointestinal bleeding may have been from Galen and his work connecting dyspepsia and melanotic stool. The changes in our management of gastrointestinal bleeding over the centuries have been driven by natural alterations in the spectrum of diseases, expanding our understanding of these diseases and the never ending advances in technology and pharmacology that have occurred relative to GI diseases. Academic interest in gastrointestinal bleeding peaked in the last half of the twentieth century with the expanding role of surgery, the discovery of acid-based peptic ulcer therapies, and the rise of flexible endoscopy and culminated in the description of h. pylori as a causative agent for ulcer disease. More recently there has been a decrease incidence in bleeding diseases of the gut and therefore a decreasing interest in the schol
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