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Dr. Namwase Violet
Upper gastrointestinal (GI) bleeding is defined as hemorrhage originating proximal to the ligament of Treitz. It is the most common GI emergency, with an annual incidence of 80–150 admissions per 100,000 population and a mortality ranging from 2% to 10%. Causes are divided into variceal (associated with chronic liver disease) and non‑variceal origins such as peptic ulcer disease and Mallory‑Weiss tears. The document outlines a systematic approach to assessment, resuscitation, scoring systems (Blatchford, Rockall), endoscopic evaluation, and both pharmacologic and procedural interventions for variceal and non‑variceal bleeding, as well as prevention measures.
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