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Non-Variceal Upper GI Bleeding
The term "non-variceal upper gastrointestinal bleeding" (UVIB) refers to bleeding close to the ligament of Treitz that is not caused by oesophageal, gastric, or duodenal varices. It might be a life-threatening incident, especially in elderly people with comorbidities. Non-variceal UGIB is mostly brought on by peptic ulcer bleeding. The primary risk factors for UGIB include the use of non-steroidal anti-inflammatory medicines, low-dose aspirin usage, and Helicobacter pylori infections. The therapeutic management of NVUGIB is challenging due to the requirement to balance the risk of gastrointestinal bleeding episodes and adverse cardiovascular events in an older population treated with antiplatelet and/or anticoagulant medicines.
About the Speaker
Dr Sushovan Guha
Professor Of Medicine, McGovern Medical School Division Of Gastroenterology, Hepatology And Nutrition; Depart Of Internal Medicine Co-Director, Center For Interventional Gastroenterology At UTHealth (IGUT)
Upcoming Case Discussions
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Postpartum Haemorrhage (PPH)
Postpartum hemorrhage (PPH) is a significant complication following childbirth, characterized by excessive bleeding within 24 hours of delivery. It's a leading cause of maternal mortality globally. PPH can occur due to various factors, including uterine atony (failure of the uterus to contract), trauma during childbirth, retained placental tissue, or coagulation disorders. Prompt recognition and intervention are crucial to prevent severe consequences. Management typically involve uterine massage, administration of uterotonic medications, uterine artery embolization, or, in severe cases, surgical interventions like hysterectomy. Timely and effective management strategies are essential to reduce maternal morbidity and mortality associated with PPH.
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Inflammatory Bowel Disorders: Types
Crohn's disease is a type of IBD that can affect any part of the digestive tract, causing inflammation and ulcers. It commonly involves the end of the small intestine (ileum) and the beginning of the large intestine (colon). Ulcerative colitis is characterized by inflammation and ulcers in the lining of the large intestine (colon) and rectum. It typically starts in the rectum and can extend continuously into the colon. Some cases of IBD cannot be clearly classified as Crohn's disease or ulcerative colitis due to overlapping features or atypical presentations. This is referred to as indeterminate colitis.Microscopic colitis includes two subtypes: collagenous colitis and lymphocytic colitis. These conditions are characterized by chronic inflammation of the colon lining visible only under a microscope. While primarily known for causing mouth sores and skin lesions, Behçet's disease can also involve the gastrointestinal tract, leading to ulcers and inflammation resembling Crohn's disease.
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Dr Sushovan Guha's Talks on Assimilate
- 15-September-2022 , Time: 5PM to 6PM
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The term "non-variceal upper gastrointestinal bleeding" (UVIB) refers to bleeding close to the ligament of Treitz that is not caused by oesophageal, gastric, or duodenal varices. It might be a life-threatening incident, especially in elderly people with comorbidities. Non-variceal UGIB is mostly brought on by peptic ulcer bleeding. The primary risk factors for UGIB include the use of non-steroidal anti-inflammatory medicines, low-dose aspirin usage, and Helicobacter pylori infections. The therapeutic management of NVUGIB is challenging due to the requirement to balance the risk of gastrointestinal bleeding episodes and adverse cardiovascular events in an older population treated with antiplatelet and/or anticoagulant medicines.