Chapter 39: UGI Bleed- Stress Gastritis

Question 1

What is it?

Answer 1

Superficial mucosal erosions in the stressed patient

Question 2

What are the risk factors?

Answer 2

1. Sepsis
2. intubation
3. trauma
4. shock
5. burn
6. brain injury

Question 3

What is the prophylactic treatment?

Answer 3

1. H2 blockers
2. PPIs
3. antacids
4. sucralfate

Question 4

What are the signs/symptoms?

Answer 4

• NGT blood (usually)
• painless (usually)

Question 5

How is it diagnosed?

Answer 5

EGD, if bleeding is significant

Question 6

What is the treatment for gastritis?

Answer 6

1. LAVAGE out blood clots
2. give a maximum dose of PPI in a 24-hour IV drip