Last reviewed: November 2017
Last updated: November  2017

Important updates

Intravenous infusion of erythromycin before endoscopy in patients with nonvariceal upper GI bleed

Intravenous infusion of erythromycin before endoscopy in patients with nonvariceal upper GI bleed should be considered to improve diagnostic yield and decrease the need for repeat endoscopy.

Original source of update

Summary

Differentials

Common

  • Peptic ulcer disease (PUD)
  • Esophageal varices
  • Esophagitis
  • Mallory-Weiss tear

Uncommon

  • Boerhaave syndrome (spontaneous esophageal perforation)
  • Gastric varices
  • Arteriovenous malformations (AVMs)
  • Dieulafoy lesion
  • Upper GI tumors
  • Aortoenteric fistulae (AEF)
  • Coagulopathy

Contributors

Authors VIEW ALL

Professor of Medicine

Division of Gastroenterology

Department of Internal Medicine

Huntsman Cancer Institute

University of Utah

Salt Lake City

UT

Disclosures

DGA has consulted for BSC and Merit, who make endoscopic retrograde cholangio-pancreatography (ERCP) products. He is also an author of references cited in this topic.

Dr Douglas G. Adler would like to gratefully acknowledge the assistance of Dr Patrick D. Martin. PDM declares that he has no competing interests.

Peer reviewers VIEW ALL

Professor of Medicine

Chief of Clinical Gastroenterology and Hepatology

University of Texas Medical Branch

Galveston

TX

Disclosures

NS declares that he has no competing interests.

Associate Professor of Pediatric Surgery

University of Pittsburgh School of Medicine

Pittsburgh

PA

Disclosures

DJH declares that he has no competing interests.

Consultant Gastroenterologist

Divisione di Gastroenterologia

Ospedale V. Cervello

Palermo

Italy

Disclosures

GM declares that he has no competing interests.

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