The Acute Management of Nonvariceal Upper Gastrointestinal Bleeding
Joint Authors
Barkun, Alan N.
al-Dhahab, Hisham
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-27
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
The mortality from nonvariceal upper gastrointestinal bleeding is still around 5%, despite the increased use of proton-pump inhibitors and the advancement of endoscopic therapeutic modalities.
Aim.
To review the state-of-the-art management of acute non variceal upper gastrointestinal bleeding from the presentation to the emergency department, risk stratification, endoscopic hemostasis, and postendoscopic consolidation management to reduce the risk of recurrent bleeding from peptic ulcers.
Methods.
A PubMed search was performed using the following key words acute management, non variceal upper gastrointestinal bleeding, and bleeding peptic ulcers.
Results.
Risk stratifying patients with acute non variceal upper gastrointestinal bleeding allows the categorization into low risk versus high risk of rebleeding, subsequently safely discharging low risk patients early from the emergency department, while achieving adequate hemostasis in high-risk lesions followed by continuous proton-pump inhibitors for 72 hours.
Dual endoscopic therapy still remains the recommended choice in controlling bleeding from peptic ulcers despite the emergence of new endoscopic modalities such as the hemostatic powder.
Conclusion.
The management of nonvariceal upper gastrointestinal bleeding involves adequate resuscitation, preendoscopic risk assessment, endoscopic hemostasis, and post endoscopic pharmacological and nonpharmacological treatment.
American Psychological Association (APA)
al-Dhahab, Hisham& Barkun, Alan N.. 2012. The Acute Management of Nonvariceal Upper Gastrointestinal Bleeding. Ulcers،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-465890
Modern Language Association (MLA)
al-Dhahab, Hisham& Barkun, Alan N.. The Acute Management of Nonvariceal Upper Gastrointestinal Bleeding. Ulcers No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-465890
American Medical Association (AMA)
al-Dhahab, Hisham& Barkun, Alan N.. The Acute Management of Nonvariceal Upper Gastrointestinal Bleeding. Ulcers. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-465890
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-465890