J Korean Neurosurg Soc.  1982 Sep;11(3):317-326.

Massive Gastrointestinal Bleeding Following Intracranial Lesion

• Lim HY
• Kim JY
• Doh JO
• Chang KS

Abstract

"Stress ulceration" of the stomach and duodenum is a nonspecific term used to cover a wide variety of different entities. It has been known for many years that there is an association between gastrointestinal bleeding and intracranial lesion. This is not a common clinical problem, but it has been noted to be increasing over the recent years, possibly due to the increased survival of severe injured neurosurgical patients and neurosurgical procedures. Clinically recongnition of gastrointestinal bleeding or ulceration can be difficult, partcularly in the unconscious patient and prevention of this complication has not been successful. The treatment of that has been the subject of considerable controversy. Prognosis depends on a prevention of hemorrhagic shock or sepsis and promptly proper management. The authors analyzed the 21 cases of massive gastrointestinal bleeding in neurosurgical patients, who were admitted to the department of neurosurgery of National Medical Center from 1978 to 1980.

Keyword

Stress ulceration; Massive gastrointestinal bleeding; Intracranial lesion; Hemorrhage shock; Sepsis; Early diagnosis

MeSH Terms

Duodenum
Early Diagnosis
Hemorrhage*
Humans
Neurosurgery
Neurosurgical Procedures
Prognosis
Sepsis
Shock, Hemorrhagic
Stomach
Ulcer