Abstract
Blood loss from the gut may be acute requiring emergency resuscitation, investigation, and management, or chronic and occult resulting in anemia. The upper gastrointestinal (GI) tract is more commonly a source of hemorrhage than the lower GI tract. Endoscopy is the mainstay of investigation and management. New endoscopic techniques and radiologic embolization have decreased the role of surgery in management, but collaboration between the endoscopist and the surgeon remains. In this review the management of acute blood loss in the GI tract is discussed. The importance of resuscitation, clinically diagnosing, and treating the underlying problem is emphasized.
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