Short intro then causes of non-variceal bleeding in cirrhotic patients

1. A 60 years old physician known to
have liver cirrhosis presented with
anemia. He had esophageal varices
which were banded few months ago
with total variceal obliteration.

4.  Helicobacter disease
 NSAIDS
 Physiologic stress
 Excess gastric acid

7.  Common in patients who are hospitalized
for life-threatening non bleeding illness
 Primary ulcer prophylaxis with anti-secretory
medications are recommended
in such patients

8. Although congestive gastropathy is common
in patients with portal hypertension, its
uncommon cause of severe bleeding in such
patients.

10.  Usually occurs in patients with Liver
Cirrhosis and systemic sclerosis
 Treated by endoscopic coagulation

12.  Linear mucosal ulcerations resulting
from forceful vomiting causing gastric
mucosal tear.
 Hiatal hernia is an important
predisposing factor.

15.  Dilated aberrant submucosal vessel that
erodes overlying epithelium in absence of
primary ulcer.
 Usually occur in male patients with
comorbidities including CVD, CKD, alcohol
and NSAIDS abuse.

17.  Should be considered in any patients with
upper GI bleeding and recent history of
biliary tract interventions and
cholangiocarcinoma
 The classic triad: biliary colic, obstructive
jaundice and GI bleeding.

19. Usually represents advanced stage, with
mucosal ulceration

21. Suspected in patients with upper GI bleeding
and history of thoracic and abdominal aortic
aneurysm.