Transcription of ACG Clinical Guideline: Management of Patients With …
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ACG Clinical Guideline: Management of Patients With …
Nature publishing group1 2016 by the American College of Gastroenterology The American Journal of GASTROENTEROLOGYPRACTICE guidelines INTRODUCTION Acute overt lower gastrointestinal bleeding (LGIB) accounts for ~20% of all cases of gastrointestinal (GI) bleeding, usually leads to hospital admission with invasive diagnostic evaluations, and consumes signifi cant medical resources ( 1 3 ). Although most Patients with acute LGIB stop bleeding spontaneously and have favorable outcomes, morbidity and mortality are increased in older Patients and those with comorbid medical conditions ( 4 ). An individual with acute LGIB classically presents with the sudden onset of hematochezia (maroon or red blood passed per rectum).
Strate and Gralnek The American Journal of GASTROENTEROLOGY VOLUME XXX | XXX 2016 www.amjgastro.com 2 Table 1 . Summary and strength of recommendations Initial assessment Evaluation and risk stratifi cation 1. A focused history, physical examination, and laboratory evaluation should be obtained at the time of patient presentation to assess the severity of
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