Lower gastrointestinal bleeding classification: Difference between revisions
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==Classification== | ==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 | 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> | ||
*Occult lower GI bleeding | *Occult lower GI bleeding | ||
*Moderate lower GI bleeding | *Moderate lower GI bleeding |
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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]
- 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, tirdness) |
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 and angiodysplasias | Neoplastic disease Inflammatory, <br> infectious, benign anorectal, and congenital diseases. | Inflammatory, neoplastic and 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.