RT Book, Section A1 Sokolosky, Mitchell C. A2 Cydulka, Rita K. A2 Fitch, Michael T. A2 Joing, Scott A. A2 Wang, Vincent J. A2 Cline, David M. A2 Ma, O. John SR Print(0) ID 1143140516 T1 Gastrointestinal Bleeding T2 Tintinalli's Emergency Medicine Manual, 8e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071837026 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1143140516 RD 2024/09/10 AB Gastrointestinal (GI) bleeding is a common problem in emergency medicine and should be considered life-threatening until proven otherwise. Acute upper GI bleeding is more common than lower GI bleeding. Upper GI bleeding is defined as that originating proximal to the ligament of Treitz. Upper GI bleeds can result from peptic ulcer disease, erosive gastritis and esophagitis, esophageal and gastric varices, and Mallory–Weiss syndrome. Lower GI bleeds most commonly result from diverticular disease, followed by colitis, adenomatous polyps, and malignancies. What may initially appear to be lower GI bleeding may be upper GI bleeding in disguise.