Gastric bleeding
| Classification according to ICD-10 | |
|---|---|
| K92.2 | Gastric bleeding |
| K92.0 | Vomiting of blood with no known cause |
| ICD-10 online (WHO version 2019) | |
A gastric bleeding is a loss of blood in the stomach , the blood to be vomiting or melena can show. Chronic low oozing bleeding in the stomach can also go completely unnoticed. Very acute bleeding can lead to circulatory shock .
The term gastric bleeding is usually also vaguely subsumed as bleeding from the esophagus or the duodenum , as long as it is not clear where the real source of bleeding is to be found.
One would have to say more correctly: bleeding in the upper gastrointestinal tract .
causes
- Gastric ulcer
- gastritis
- Mallory-Weiss Syndrome
- Gastric erosions
- Stomach cancer
- Varicose veins in the stomach
- Non-steroidal anti-inflammatory drug (NSAID). Statutory health insurance funds spend almost EUR 125 million annually on the treatment of gastrointestinal side effects of NSAIDs. 1100 to 2200 people die in Germany every year from gastrointestinal complications (estimates). The number of unreported cases is likely to be significantly higher.
Diagnosis
- Control of hemoglobin levels and coagulation
-
Gastroscopy
- The problem here is that with fresh bleeding the stomach is very confusing and difficult to examine.
- Nasogastric tube
- Ultrasound to detect cirrhosis of the liver , for example
therapy
- inpatient admission to a hospital
- Monitoring in an intensive care unit
- Blood substitute
- Coagulation factor replacement if necessary
- Braking of gastric acid production
- Endoscopic hemostasis
- Surgery if the bleeding cannot be stopped (rarely necessary)
Web links
Wiktionary: gastric bleeding - explanations of meanings, word origins, synonyms, translations
