Upper gastrointestinal bleeding in a patient with AIDS

Valeska Balderas; Stuart Jon Spechler

doi:10.1038/ncpgasthep0497

Upper gastrointestinal bleeding in a patient with AIDS

Valeska Balderas, Stuart Jon Spechler

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Background: A 38-year-old man with AIDS and hepatitis C was admitted to our hospital in January 2005, with complaints of epigastric pain, odynophagia, and melena of 4 days' duration. The patient was not taking highly active antiretroviral therapy because of poor compliance and he denied use of NSAIDs. Investigations: Physical examination, stool guaia c test, laboratory investigations, and esophagogastroduodenoscopy with biopsies of gastric ulcerations. Diagnosis: Non-Hodgkin's lymphoma of the stomach (diffuse large B-cell type) with associated gastric ulceration and bleeding. Management: Injection of epinephrine and bipolar coagulation for the bleeding malignant ulcer, and PPI therapy.

Original language	English (US)
Pages (from-to)	349-353
Number of pages	5
Journal	Nature Clinical Practice Gastroenterology and Hepatology
Volume	3
Issue number	6
DOIs	https://doi.org/10.1038/ncpgasthep0497
State	Published - Jun 1 2006

Keywords

AIDS
Endoscopy
Gastrointestinal bleeding
Non-Hodgkin's lymphoma
PPIs

ASJC Scopus subject areas

Hepatology
Gastroenterology

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10.1038/ncpgasthep0497

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title = "Upper gastrointestinal bleeding in a patient with AIDS",

abstract = "Background: A 38-year-old man with AIDS and hepatitis C was admitted to our hospital in January 2005, with complaints of epigastric pain, odynophagia, and melena of 4 days' duration. The patient was not taking highly active antiretroviral therapy because of poor compliance and he denied use of NSAIDs. Investigations: Physical examination, stool guaia c test, laboratory investigations, and esophagogastroduodenoscopy with biopsies of gastric ulcerations. Diagnosis: Non-Hodgkin's lymphoma of the stomach (diffuse large B-cell type) with associated gastric ulceration and bleeding. Management: Injection of epinephrine and bipolar coagulation for the bleeding malignant ulcer, and PPI therapy.",

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AU - Spechler, Stuart Jon

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N2 - Background: A 38-year-old man with AIDS and hepatitis C was admitted to our hospital in January 2005, with complaints of epigastric pain, odynophagia, and melena of 4 days' duration. The patient was not taking highly active antiretroviral therapy because of poor compliance and he denied use of NSAIDs. Investigations: Physical examination, stool guaia c test, laboratory investigations, and esophagogastroduodenoscopy with biopsies of gastric ulcerations. Diagnosis: Non-Hodgkin's lymphoma of the stomach (diffuse large B-cell type) with associated gastric ulceration and bleeding. Management: Injection of epinephrine and bipolar coagulation for the bleeding malignant ulcer, and PPI therapy.

AB - Background: A 38-year-old man with AIDS and hepatitis C was admitted to our hospital in January 2005, with complaints of epigastric pain, odynophagia, and melena of 4 days' duration. The patient was not taking highly active antiretroviral therapy because of poor compliance and he denied use of NSAIDs. Investigations: Physical examination, stool guaia c test, laboratory investigations, and esophagogastroduodenoscopy with biopsies of gastric ulcerations. Diagnosis: Non-Hodgkin's lymphoma of the stomach (diffuse large B-cell type) with associated gastric ulceration and bleeding. Management: Injection of epinephrine and bipolar coagulation for the bleeding malignant ulcer, and PPI therapy.

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KW - Endoscopy

KW - Gastrointestinal bleeding

KW - Non-Hodgkin's lymphoma

KW - PPIs

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Upper gastrointestinal bleeding in a patient with AIDS

Abstract

Keywords

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