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In contrast, melena appears jet black, shiny, and tar-like, with a strong, distinctive odour caused by the digestion of blood in the gastrointestinal tract
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Lamperti M, Romero CS, Guarracino F, Cammarota G, Vetrugno L, Tufegdzic B et al (2025) Preoperative assessment of adults undergoing elective noncardiac surgery: Updated guidelines from the European Society of Anaesthesiology and Intensive Care
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