One of the reasons we fuss so much about the accuracy of melaena description is that we use it to arbitrarily divide the GI bleed 🩸 as upper or lower although there are many caveats. Sometimes the distinction UGIB or LGIB is necessary because of who takes the patient! #turf
Melaena (assuming correctly described) can still be from right colonic or small bowel bleed and bright red blood can also be from a brisk upper GI bleed. Has the time come to see them all as GI bleeds and work on them?
How accurate is the description of melaena over the phone?
Here is a little poll to see how GI bleeds are managed globally.
Who takes GI bleeds in your hospital? GIs or Surgeons?
#GItwitter #UGIB #LGIB
What’s your referral practice with UGIB vs LGIB? Does the shade of melaena/melena impact your decision?
@kate_oakland @ShradhaGuptaMD @BilalMohammadMD @drkeithsiau @DCharabaty @Samir_Grover @MichaelScaffidi @RashidLui @SunilAminMD @SanchezLunaMD @KM_Pawlak @drdeepakmadhu
UGIB vs LGIB based on the shade of melena, admit with GI or Sx
Please join the discussion.
@DrHarryThomas @DrReddyGI @purnie_mae @AparnaGoelMD @ginorthshore @GI_Pearls @Uk_BowelDoc @sachdevmd @drmanmeetm @SiwanTG @SWexner @PPockney @SoMe4endoscopy @me4_so
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