Pediatric gastrointestinal bleeding

Abstract

1) Hematemesis is indicative of an upper GI bleed, occurring proximal to the ligament of Treitz, while hematochezia usually indicates a lower GI bleed, distal to the ligament of Treitz. 2) A patient's age, along with a detailed history, can be used to guide diagnostic evaluation and treatment. 3) Severe GI bleeding can quickly result in hemodynamic compromise. Initial management of patients with severe GI bleeding should focus on stabilization and include quick intravascular access for fluid resuscitation.