Gastrointestinal hemorrhage in patients with AIDS. NLM AIDSLINE Important note: Information in this article was accurate in 2000. The state of the art may have changed since the publication date.

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Gastrointestinal hemorrhage in patients with AIDS.

AIDS Patient Care STDS. 1999 Jun;13(6):343-6. Unique Identifier : AIDSLINE MED/20301671
Chalasani N; Wilcox CM; Department of Medicine, Indiana University School of Medicine,; Indianapolis, USA.

Abstract: Gastrointestinal (GI) bleeding is a relatively infrequent complication seen in patients with AIDS. As with non-HIV-infected individuals, upper GI bleeding is much more common than lower GI bleeding. In patients with AIDS, upper GI bleeding can result from etiologies related to underlying HIV infection [cytomegalovirus (CMV), Kaposi's sarcoma, idiopathic esophageal ulcers, etc] or be unrelated to HIV infection (peptic ulcer, portal hypertension, Mallory-Weiss tear, etc.). Lower GI bleeding is caused predominantly by etiologies related to underlying HIV disease; CMV colitis is the most common cause. In contrast to non-HIV-infected individuals, hemorrhoids and anal fissures can result in significant bleeding in AIDS patients because of associated thrombocytopenia. Management of GI bleeding in AIDS patients is similar to patients without HIV infection, and includes resuscitation, identification of the bleeding source, achieving hemostasis, and preventing recurrent bleeding. Several etiologies that cause GI bleeding in patients with AIDS can be diagnosed through endoscopy, either by their characteristic endoscopic appearance or mucosal biopsies.
Keywords: JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL Acquired Immunodeficiency Syndrome/*COMPLICATIONS/DIAGNOSIS/ EPIDEMIOLOGY Comorbidity Comparative Study Female Gastrointestinal Hemorrhage/DIAGNOSIS/EPIDEMIOLOGY/*ETIOLOGY Human Incidence Male Reference Values Risk Factors Survival Rate

KWDjournalarticlereviewreview,tutorialacquiredimmunodeficiencysyndrome/KWDcomplications/diagnosis/epidemiologycomorbiditycomparativestudyfemalegastrointestinalhemorrhage/diagnosis/epidemiology/KWDetiologyhumanincidencemalereferencevaluesriskfactorssurvivalrate
000930
A0091447

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