2012-9-27 Questions Vignette follow-up Whether gi bleeding exists? VA is admitted to the hospital and m Severity of the hemorrhage receives a three-unit transfuse m The amount of gi tract blood los copy reve cer Source of hemorrhage Upper or lower GI No rebleeding occurs with medical bleeding management. s He has not had recurrent symptoms or m Ceased or not? evidence of bleeding during one year of ■ How to treat? follow-up. 划! 石虹 Email: shi hong@zs-hospital shcn2012-9-27 5 www.zshospital.com Hong Shi, Department of Gastroenterology & Hepatology, Zhongshan Hospital 复 旦 大 学 附 属 中 山 医 院 消 化 科 Questions  Whether GI bleeding exists?  Severity of the hemorrhage?  The amount of GI tract blood loss?  Source of hemorrhage? Upper or lower GI bleeding?  Etiology? Diagnosis?  Ceased or not?  How to treat? www.zshospital.com Hong Shi, Department of Gastroenterology & Hepatology, Zhongshan Hospital 复 旦 大 学 附 属 中 山 医 院 消 化 科 Vignette follow-up  VA is admitted to the hospital and receives a three-unit transfusion.  Endoscopy reveals a duodenal ulcer.  No rebleeding occurs with medical management.  He has not had recurrent symptoms or evidence of bleeding during one year of follow-up. www.zshospital.com 谢 谢 ！ 石 虹 Email：shi.hong@zs-hospital.sh.cn