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An upper GI bleed is more common than lower GI bleed. [2] An upper GI bleed occurs in 50 to 150 per 100,000 adults per year. [8] A lower GI bleed is estimated to occur in 20 to 30 per 100,000 per year. [2] It results in about 300,000 hospital admissions a year in the United States. [1] Risk of death from a GI bleed is between 5% and 30%.
578 Gastrointestinal hemorrhage. 578.0 Hematemesis; 578.1 Blood in stool, melena; 579 Intestinal malabsorption. 579.0 Coeliac disease; 579.1 Tropical sprue; 579.2 Blind loop syndrome; 579.3 Other and unspecified postsurgical nonabsorption. Short bowel syndrome; 579.4 Pancreatic steatorrhea; 579.8 Other specified intestinal malabsorption ...
This is a shortened version of the fourth chapter of the ICD-9: Diseases of the Blood and Blood-forming Organs. It covers ICD codes 280 to 289. The full chapter can be found on pages 167 to 175 of Volume 1, which contains all (sub)categories of the ICD-9. Volume 2 is an alphabetical index of Volume 1.
This is a shortened version of the seventeenth chapter of the ICD-9: Diseases of the Digestive System. It covers ICD codes 800 to 999 . The full chapter can be found on pages 473 to 546 of Volume 1, which contains all (sub)categories of the ICD-9.
About 75% of people presenting to the emergency department with gastrointestinal bleeding have an upper source. [9] The diagnosis is easier when the people have hematemesis. In the absence of hematemesis, 40% to 50% of people in the emergency department with gastrointestinal bleeding have an upper source. [8] [10] [25]
White blood cell count >10.5 in 98% (probably an overestimate as only tested in 81% of patients) Lactic acid elevated 91% (probably an overestimate as only tested in 57% of patients) In very early or very extensive acute intestinal ischemia, elevated lactate and white blood cell count may not yet be present.
A lower gastrointestinal bleed is defined as bleeding originating distal to the ileocecal valve, which includes the colon, rectum, and anus. [2] LGIB was previously defined as any bleed that occurs distal to the ligament of Treitz, which included the aforementioned parts of the intestine and also included the last 1/4 of the duodenum and the entire area of the jejunum and ileum. [1]
Bleeding in the stomach and intestines, edema, dilated blood vessels Gastric antral vascular ectasia ( GAVE ) is an uncommon cause of chronic gastrointestinal bleeding or iron deficiency anemia . [ 1 ] [ 2 ] The condition is associated with dilated small blood vessels in the gastric antrum , which is a distal part of the stomach . [ 1 ]