Behind the knife, the Surgery Podcast, where we take a behind the scenes intimate look at surgery

from leaders in the field. Welcome to Behind the Knife Medical Student and Intern Survival Guide.

In this podcast series, we focus on topics relevant to medical students and

surgical interns.

My name is Patrick Georgeoffoff and I'm Vahag

Nicolian and we are your hosts.

All right today we have another high-yield topic applicable to all students and

residents acute gastrointestinal hemorrhage. That's right.

Today we're covering GI bleed.

This topic is important for those interested in surgery, but is also applicable to those going

into emergency medicine and internal medicine.

That's because the management of these patients often requires a multidisciplinary approach

Absolutely, so let's get started with some basics

G.I. bleeds are often categorized as either an upper or lower GI bleed depending on the location of the bleeding.

Bleeds that originate from the foregut, meaning proximal to the ligament of trites are classified as upper GI bleeds.

About 80% of GI bleeds are found to be upper GI in nature.

Distal to the ligament of trites, GI bleeds are considered to be lower GI. Most of these bleeds will be

from the colon. Only a small percentage of bleeds originate actually from the

small bowel. That's right. When men thinking about GI bleeds is important to maintain a broad differential diagnosis

For upper GI bleeds the most common entities include

Duodinal ulcers, gastric ulcers, esophagitis, varices, and gastritis.

For lower GI bleeds, diverticulosis, colitis, neoplasms,

...