High digestive hemorrhage

A high digestive hemorrhage is a Hémorragie which occurs upstream of the duodéno-jejunal angle or angle of Treitz: esophagus, Stomach and Duodenum.

Symptoms

A high digestive hemorrhage can be revealed by:

  • a Hématémèse which is a bloody vomiting (60% of the cases)
  • a Méléna which is the emission by the anus of black blood digested (20% of the cases)
  • a Hématochézie or Rectorragie in the event of abundant bleeding (less than 5% of the cases)
  • a faintness, to see a Collapsus, without exteriorized hemorrhage (20% of the cases)
. Ferriprive anemia

Etiologies

  • ulcer and ulceration gastro-duodénale (50% of the cases)

  • hypertension portale and rupture of varixes oesophagiennes (14 to 28% of the cases)
  • gastrite and duodénite acute (15% of the cases)
  • oesophagite (9 to 12% of the cases)
  • Mallory-Weiss, malignant tumors, hernias hiatales, oesophagite peptic, ulcer of Dieulafoy, hémobilie

See too

External bonds

  • Digestive Hemorrhages with the SAU

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