Gastric, Duodenal, and Small Bowel Emergencies.

Surg Clin North Am

University of California Riverside, Riverside Community Hospital, , 4445 Magnolia Avenue, Riverside, CA 92501, USA. Electronic address:

Published: December 2023

AI Article Synopsis

  • Gastric and small bowel emergencies in the emergency department require quick assessment and action due to the potential for rapid patient deterioration.
  • Common conditions include gastric volvulus and peptic ulcer disease, which can lead to serious complications like ischemia, strangulation, or severe bleeding.
  • Timely diagnosis is essential for appropriate treatment, with perforated ulcers typically needing surgery and bleeding ulcers often manageable through endoscopic methods.

Article Abstract

Gastric and small bowel emergencies are often seen in the emergency department and require rapid assessment and intervention as patients can deteriorate quickly. Some of the more frequently seen gastric emergencies include gastric volvulus and peptic ulcer disease, which can present with ischemia, strangulation, perforation, or severe bleeding. Swift diagnosis is crucial to ensuring the proper management whether that is endoscopic or with surgical exploration. Perforated peptic ulcers that are not contained will require surgical intervention, whereas bleeding ulcers can often be controlled with endoscopic interventions.

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Source
http://dx.doi.org/10.1016/j.suc.2023.05.012DOI Listing

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