Lower gastrointestinal bleeding classification: Difference between revisions

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Latest revision as of 16:25, 26 December 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Lower gastrointestinal bleeding can be classified into occult, moderate and severe bleeding based on the severity of bleeding.

Classification

Lower GI bleeding can be classified into 3 groups based on the severity of bleeding:^[1]^[2]^[3]^[4]^[5]^[6]

Occult lower GI bleeding
Moderate lower GI bleeding
Severe lower GI bleeding

	Severe lower GI bleeding	Moderate lower GI bleeding	Occult lower GI bleeding
Age	> 65 years	Occur at any age	Any age
Presenting symptoms	Hematochezia or bright red blood per rectum.	Hematochezia or melena	Symptoms of anemia (fatigue, tiredness)
Hemodynamics	Unstable	Stable	Stable
Lab findings	Hemoglobin equal to or less than 6 g/dl.	Microcytic anemia	Microcytic hypochromic anemia due to chronic blood loss.
Differential	Diverticulosis Angiodysplasia	Neoplastic disease Inflammatory Infectious Benign anorectal Congenital diseases	Inflammatory Neoplastic Congenital

References

↑ Lee EW, Laberge JM (2004). "Differential diagnosis of gastrointestinal bleeding". Tech Vasc Interv Radiol. 7 (3): 112–22. PMID 16015555.
↑ Raju GS, Gerson L, Das A, Lewis B (2007). "American Gastroenterological Association (AGA) Institute medical position statement on obscure gastrointestinal bleeding". Gastroenterology. 133 (5): 1694–6. doi:10.1053/j.gastro.2007.06.008. PMID 17983811.
↑ Rockey DC (2010). "Occult and obscure gastrointestinal bleeding: causes and clinical management". Nat Rev Gastroenterol Hepatol. 7 (5): 265–79. doi:10.1038/nrgastro.2010.42. PMID 20351759.
↑ Rockey DC (2005). "Gastrointestinal bleeding". Gastroenterol. Clin. North Am. 34 (4): 581–8. doi:10.1016/j.gtc.2005.08.002. PMID 16303571.
↑ Green BT, Rockey DC (2003). "Acute gastrointestinal bleeding". Semin. Gastrointest. Dis. 14 (2): 44–65. PMID 12889580.
↑ Rockey DC (1999). "Occult gastrointestinal bleeding". N. Engl. J. Med. 341 (1): 38–46. doi:10.1056/NEJM199907013410107. PMID 10387941.

Template:WH Template:WS

[pmid16015555-1] Lee EW, Laberge JM (2004). "Differential diagnosis of gastrointestinal bleeding". Tech Vasc Interv Radiol. 7 (3): 112–22. PMID 16015555.

[pmid17983811-2] Raju GS, Gerson L, Das A, Lewis B (2007). "American Gastroenterological Association (AGA) Institute medical position statement on obscure gastrointestinal bleeding". Gastroenterology. 133 (5): 1694–6. doi:10.1053/j.gastro.2007.06.008. PMID 17983811.

[pmid20351759-3] Rockey DC (2010). "Occult and obscure gastrointestinal bleeding: causes and clinical management". Nat Rev Gastroenterol Hepatol. 7 (5): 265–79. doi:10.1038/nrgastro.2010.42. PMID 20351759.

[pmid16303571-4] Rockey DC (2005). "Gastrointestinal bleeding". Gastroenterol. Clin. North Am. 34 (4): 581–8. doi:10.1016/j.gtc.2005.08.002. PMID 16303571.

[pmid12889580-5] Green BT, Rockey DC (2003). "Acute gastrointestinal bleeding". Semin. Gastrointest. Dis. 14 (2): 44–65. PMID 12889580.

[pmid10387941-6] Rockey DC (1999). "Occult gastrointestinal bleeding". N. Engl. J. Med. 341 (1): 38–46. doi:10.1056/NEJM199907013410107. PMID 10387941.

[1]

[2]

[3]

[4]

[5]

[6]

@@ Line 3: / Line 3: @@
 {{CMG}}; {{AE}} {{ADG}}
 ==Overview==
-There is no established system for the classification of [disease name].
+Lower gastrointestinal bleeding can be classified into [[Occult bleeding|occult]], moderate and severe [[bleeding]] based on the severity of bleeding.
-OR
-[Disease name] may be classified according to [classification method] into [number] subtypes/groups: [group1], [group2], [group3], and [group4].
-OR
-[Disease name] may be classified into [large number > 6] subtypes based on [classification method 1], [classification method 2], and [classification method 3].
-[Disease name] may be classified into several subtypes based on [classification method 1], [classification method 2], and [classification method 3].
-OR
-Based on the duration of symptoms, [disease name] may be classified as either acute or chronic.
-OR
-If the staging system involves specific and characteristic findings and features:
-According to the [staging system + reference], there are [number] stages of [malignancy name] based on the [finding1], [finding2], and [finding3]. Each stage is assigned a [letter/number1] and a [letter/number2] that designate the [feature1] and [feature2].
-OR
-The staging of [malignancy name] is based on the [staging system].
-OR
-There is no established system for the staging of [malignancy name].
 ==Classification==
+Lower GI bleeding can be classified into 3 groups based on the severity of bleeding:<ref name="pmid16015555">{{cite journal |vauthors=Lee EW, Laberge JM |title=Differential diagnosis of gastrointestinal bleeding |journal=Tech Vasc Interv Radiol |volume=7 |issue=3 |pages=112–22 |year=2004 |pmid=16015555 |doi= |url=}}</ref><ref name="pmid17983811">{{cite journal |vauthors=Raju GS, Gerson L, Das A, Lewis B |title=American Gastroenterological Association (AGA) Institute medical position statement on obscure gastrointestinal bleeding |journal=Gastroenterology |volume=133 |issue=5 |pages=1694–6 |year=2007 |pmid=17983811 |doi=10.1053/j.gastro.2007.06.008 |url=}}</ref><ref name="pmid20351759">{{cite journal |vauthors=Rockey DC |title=Occult and obscure gastrointestinal bleeding: causes and clinical management |journal=Nat Rev Gastroenterol Hepatol |volume=7 |issue=5 |pages=265–79 |year=2010 |pmid=20351759 |doi=10.1038/nrgastro.2010.42 |url=}}</ref><ref name="pmid16303571">{{cite journal |vauthors=Rockey DC |title=Gastrointestinal bleeding |journal=Gastroenterol. Clin. North Am. |volume=34 |issue=4 |pages=581–8 |year=2005 |pmid=16303571 |doi=10.1016/j.gtc.2005.08.002 |url=}}</ref><ref name="pmid12889580">{{cite journal |vauthors=Green BT, Rockey DC |title=Acute gastrointestinal bleeding |journal=Semin. Gastrointest. Dis. |volume=14 |issue=2 |pages=44–65 |year=2003 |pmid=12889580 |doi= |url=}}</ref><ref name="pmid10387941">{{cite journal |vauthors=Rockey DC |title=Occult gastrointestinal bleeding |journal=N. Engl. J. Med. |volume=341 |issue=1 |pages=38–46 |year=1999 |pmid=10387941 |doi=10.1056/NEJM199907013410107 |url=}}</ref>
+*[[Occult bleeding|Occult]] lower GI bleeding
+*Moderate lower GI bleeding
+*Severe lower GI bleeding
-*There is no established system for the classification of [disease name].
+{| class="wikitable"
-OR
+!
-*[Disease name] may be classified according to [classification method] into [number] subtypes/groups:
+!Severe lower GI bleeding
-**[Group1]
+!Moderate lower GI bleeding
-**[Group2]
+!Occult lower GI bleeding
-**[Group3]
+|-
-**[Group4]
+|Age
-OR
+|> 65 years
-*[Disease name] may be classified into [large number > 6] subtypes based on:
+|Occur at any age
-**[Classification method 1]
+|Any age
-**[Classification method 2]
+|-
-**[Classification method 3]
+|Presenting symptoms
-*[Disease name] may be classified into several subtypes based on:
+|[[Hematochezia]] or bright red blood per rectum.
-**[Classification method 1]
+|[[Hematochezia]] or [[melena]]
-**[Classification method 2]
+|Symptoms of [[anemia]] ([[fatigue]], [[tiredness]])
-**[Classification method 3]
+|-
-OR
+|Hemodynamics
-*Based on the duration of symptoms, [disease name] may be classified as either acute or chronic.
+|Unstable
-OR
+|Stable
-*If the staging system involves specific and characteristic findings and features:
+|Stable
-*According to the [staging system + reference], there are [number] stages of [malignancy name] based on the [finding1], [finding2], and [finding3]. Each stage is assigned a [letter/number1] and a [letter/number2] that designate the [feature1] and [feature2].
+|-
-OR
+|Lab findings
-*The staging of [malignancy name] is based on the [staging system].
+|[[Hemoglobin]] equal to or less than 6 g/dl.
-OR
+|[[Microcytic anemia]]
-*There is no established system for the staging of [malignancy name].
+|[[Microcytic anemia|Microcytic hypochromic anemia]] due to chronic blood loss.
+|-
+|Differential
+|
+* [[Diverticulosis]]
+* [[Angiodysplasia]]
+|
+* [[Neoplastic disease]]
+* [[Inflammatory]]
+* [[Infectious]]
+* [[Benign]] [[anorectal]]
+* [[Congenital]] diseases
+|
+* [[Inflammatory]]
+* [[Neoplastic]]
+* [[Congenital]]
+|}
 ==References==

Lower gastrointestinal bleeding classification: Difference between revisions

Latest revision as of 16:25, 26 December 2017

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