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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
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Gastrointestinal Bleeding and Management

Anita K Pai1, Victor L Fox1

  • 1Division of Gastroenterology, Hepatology, and Nutrition, Boston Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.

Pediatric Clinics of North America
|May 16, 2017
PubMed

Insights

Pediatric gastrointestinal bleeding varies widely. This review offers a framework for pediatricians to evaluate and manage pediatric hemorrhage, guiding history, examination, and diagnostic tools.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Medicine

Background:

  • Gastrointestinal bleeding in children presents a wide clinical spectrum.
  • Effective management requires a systematic approach.

Purpose of the Study:

  • To provide a framework for the evaluation and management of pediatric gastrointestinal hemorrhage.
  • To guide pediatricians in diagnosing and treating bleeding in children.

Main Methods:

  • Review of strategies for patient history and physical examination.
  • Appraisal of diagnostic modalities including blood tests, radiologic tools, and endoscopy.

Main Results:

  • A tailored history and physical exam can indicate bleeding location, severity, and etiology.
  • Various diagnostic tools aid in identifying and controlling bleeding sources.

Conclusions:

  • A structured approach integrating patient history, physical examination, and appropriate diagnostic tools is crucial for managing pediatric gastrointestinal bleeding.

Keywords:
EndoscopyHematemesisHematocheziaMelenaPeptic ulcerVaricesVascular anomaly

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