Acute upper gastrointestinal haemorrhage

Acute upper gastrointestinal bleeding (UGIB) is a common hospital presentation with high mortality. Presentation is across age groups and affected by increasingly complex underlying multimorbidity. New developments in the pharmacology of thrombotic disorders can lead to increased bleeding risk. Risk stratification scoring systems can identify patients at risk of adverse outcomes and facilitate early discharge in patients deemed at low risk. Initial management focuses on appropriate early resuscitation.