This unit is affiliated to the Endoscopy Unit and located in Department 2. Here, patients with massive upper GI bleeding are stabilized and their bleeding is controlled.

Equipment:

• Upper GI endoscopes.

• Equipment of injection sclerotherapy.

• Intravenous fluids, plasma expanders and intravenous lines.

• Resuscitation kit.

Causes of Upper GI Bleeding:

• Esophageal Varices

• Duodenal Ulcer

• Gastric Ulcer

• Gastritis or Duodenitis

• Esophagitis or esophageal ulcer

• Mallory-Weiss tear

• Gastrointestinal malignancy

• Dieulafoy's Lesion

  1. Artery at gastric fundus may bleed heavily

  2. Difficult to identify on endoscopy

• Gastric antral vascular ectasia

  1. Longitudinal erythematous stripes on gastric mucosa

  2. Known as Watermelon stomach

• Arteriovenous malformation

• Angiodysplasia of stomach or duodenum, associated with

  1. Chronic Renal Failure

  2. Aortic Stenosis

  3. Cirrhosis

  4. Von Willebrand's Disease

After admission and stabilization, the patient is treated by an extremely well qualified and capable staff accustomed to handle any emergency situation.

Upon bleeding control, the patient is monitored and sent to the correspomding department after the follow-up schedule has been detemined.