Causes of Upper Gastrointestinal Bleed

In this article, we will discuss various Causes of Upper Gastrointestinal Bleed. So, let’s get started.

Causes

1. Peptic ulcer (35-50%) associated with NSAIDs and H.pylori

2. Acute gastric erosion (about 20%), e.g. NSAIDs, alcohol induced, stress-induced ulceration

3. Esophageal varices (5-10%), i.e. liver disease, portal hypertension

4. Erosive esophagitis (5-10%) usually associated with hiatus hernia

5. Mallory-Weiss tear (5%), i.e. laceration of gastroesophageal junction

6. Vascular (angiomatus) malformations (5%)

7. Cancer of esophagus or stomach (2%)

8. Aortic graft (aorto-duodenal fistula- 0.2%)

9. Miscellaneous (rare), i.e.bleeding disorders, corrosive injury, post-sclerotherapy or ligation ulcers.

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