Stier C, May J
Klinik für Allgemein‑, Viszeral‑, Gefäß- und Kinderchirurgie, Universitätsklinik Würzburg, Oberdürrbacherstr. 2, 97080, Würzburg, Deutschland.
Medizinische Klinik und Poliklinik I, Universitätsklinik Würzburg, Würzburg, Deutschland.
Chirurg. 2019 Aug;90(8):631-639. doi: 10.1007/s00104-019-0965-6.
Gastrointestinal bleeding (GIB) can occur as a complicating issue in the postoperative course after visceral surgery. It can be of varying clinical extent ranging from mild anemia to fatal hemorrhagic shock. Symptomatic manifestations of a GIB are hematemesis, melena and hematochezia. The GIB are fundamentally differentiated into upper and lower GIB. While upper GIB is defined as the occurrence of endoluminal hemorrhage above the ligament of Treitz, correspondingly the definition of lower GIB is intraluminal bleeding distal to the duodenojejunal flexure. Knowledge of their procedure-related incidence during the postoperative course enables a better assessment of the necessary intervention.
胃肠道出血（GIB）可能作为内脏手术后病程中的一个并发症出现。其临床严重程度各不相同，从轻度贫血到致命性失血性休克。GIB的症状表现为呕血、黑便和便血。GIB从根本上可分为上消化道出血和下消化道出血。上消化道出血定义为屈氏韧带以上腔内出血，相应地，下消化道出血的定义是十二指肠空肠曲远端的腔内出血。了解其术后病程中与手术相关的发生率有助于更好地评估所需的干预措施。
