Acute upper gastrointestinal bleeding (AUGIB) is the commonest reason for hospitalization with hemorrhage in the UK and the leading indication for transfusion of red blood cells (RBCs). Observational studies suggest an association between more liberal RBC transfusion and adverse patient outcomes, and a recent randomised trial reported increased further… (More)
BACKGROUND Transfusion thresholds for acute upper gastrointestinal bleeding are controversial. So far, only three small, underpowered studies and one single-centre trial have been done. Findings from the single-centre trial showed reduced mortality with restrictive red blood cell (RBC) transfusion. We aimed to assess whether a multicentre, cluster… (More)
Two liver biopsies were performed 6 months apart in each of 29 patients with alcoholic liver disease. Hepatic aldehyde dehydrogenase activity was measured on each occasion. The patients were seen regularly and their alcohol consumption was assessed independently. Hepatic aldehyde dehydrogenase activity was unchanged in 17 patients who continued to drink to… (More)
We present a case of recurrent variceal bleeding due to subtotal occlusion of the splenoportal junction by a pancreatic carcinoma. This was effectively treated by transhepatic venous angioplasty and stenting.