Gastrointestinal hemorrhage: is the surgeon obsolete?
The management of GI hemorrhage has undergone tremendous evolution in recent decades. Once commonly managed by surgeons, the almost continuous introduction of new technologies and pharmacotherapies has dramatically improved clinicians' ability to identify and control sources of bleeding without surgery. Although a gastroenterologist can successfully manage most cases of GI hemorrhage endoscopically, surgical consultation remains an important consideration for the emergency physician in selected cases.
Hamoui
Nahid
N
Department of Surgery, Keck School of Medicine, 1510 San Pablo Street, Suite 514, Los Angeles, CA 90033, USA.
Docherty
Stephen D
SD
Crookes
Peter F
PF
D001803:Blood Transfusion; D004932:Esophageal and Gastric Varices / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy*; D015658:HIV Infections / Q000150:complications; D006489:Hemostatic Techniques; D006801:Humans; D011379:Prognosis; D012151:Resuscitation