Management of non-variceal upper gastrointestinal bleeding: where are we in 2018?
bleeding
bleeding peptic ulcer
endoscopy
gastrointestinal bleeding
Journal
Frontline gastroenterology
ISSN: 2041-4137
Titre abrégé: Frontline Gastroenterol
Pays: England
ID NLM: 101528589
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
21
09
2017
revised:
10
01
2018
accepted:
21
01
2018
entrez:
18
1
2019
pubmed:
18
1
2019
medline:
18
1
2019
Statut:
ppublish
Résumé
Acute upper gastrointestinal bleeding (AUGIB) is one of the most common medical emergencies in the UK. Despite advancement in technology the management of AUGIB remains a challenge. The clinical community recognise the need for improvement in the treatment of these patients. AUGIB has a significant impact on resources. Endoscopic therapy is the gold standard treatment. The mortality in AUGIB is rarely related to the presenting bleed but significantly associated with concurrent comorbidities. The cost of blood transfusion in the management of patients with AUGIB is significant and misuse of blood products has been documented nationally. Risk stratification tools such as Glasgow-Blatchford Score, Rockall Score and the AIMS65 score have allowed clinicians to triage patients appropriately in order to deliver endoscopic therapy within a suitable time frame. Endoscopic therapeutic modalities such as epinephrine injection, heat thermocoagulation and mechanical clips have had a positive impact on patient's management. However, in order to continue to improve patient's outcomes, further developments are needed.
Identifiants
pubmed: 30651955
doi: 10.1136/flgastro-2017-100901
pii: flgastro-2017-100901
pmc: PMC6319149
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
35-42Déclaration de conflit d'intérêts
Competing interests: None declared.
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