Hemodynamically Unstable Patients with Acute Gastrointestinal Bleeding

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Gastrointestinal bleeding is a common problem encountered in the emergency department and in the primary care setting. In cases of hemodynamically unstable patients with acute gastrointestinal bleeding, rapid clinical evaluation and accurate diagnosis are crucial. After adequate resuscitation and hemodynamic stabilization, full upper endoscopy and colonoscopy are effective in distinguishing the cause of the bleeding and treating it with hemostasis. In cases of suspicious small bowel bleeding, angiography, deep enteroscopy, or intraoperative endoscopy should be considered. This review summarizes the overall diagnostic approach to gastrointestinal bleeding with hemodynamically unstable patients with acute gastrointestinal bleeding.

Original languageEnglish
Title of host publicationSmall Intestine Disease
Subtitle of host publicationA Comprehensive Guide to Diagnosis and Management
PublisherSpringer Nature
Number of pages3
ISBN (Electronic)9789811672392
ISBN (Print)9789811672385
StatePublished - 1 Jan 2022

Bibliographical note

Publisher Copyright:
© Springer Nature Singapore Pte Ltd. 2022.


  • Angiography
  • Deep enteroscopy
  • Intraoperative enteroscopy
  • Obscure gastrointestinal bleeding
  • Second-look endoscopy


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