Upper Gastrointestinal Bleeding Upper-Gastro-intestinal bleeding is manifested as hematemesis (blood vomiting) and Malena (black tarry stool). Hematemesis usually indicates bleeding proximal to the ligament of Treitz and malena usually denotes bleeding from the esophagus, stomach or duodenum, but lesions in jejunum, ileum and even ascending colon may cause Malena provided that there is stasis. 60ml […]