Acute endoscopic intervention in non-variceal upper gastrointestinal bleeding.
Upper gastrointestinal bleeding is one of the commonest emergencies encountered by general physicians. Once haemodynamic stability has been achieved, therapeutic endoscopy is vital in control and arrest of bleeding. Various methods are available and the evidence is reviewed as to the most optimal approach. Clinical parameters including timing of endoscopy, risk stratification, and predictors of failure will also be discussed together with a summary of recommendations based on current available evidence.
Arasaradnam
R P
RP
ramesh.arasaradnam@sth.nhs.uk
Donnelly
M T
MT
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000897:Anti-Ulcer Agents / Q000627:therapeutic use; D002425:Cautery / Q000379:methods; D003131:Combined Modality Therapy; D004638:Emergency Treatment; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004837:Epinephrine / Q000008:administration & dosage; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D007267:Injections; D008875:Middle Aged; D009853:Omeprazole / Q000627:therapeutic use; D013525:Surgical Instruments; D014014:Tissue Adhesives / Q000627:therapeutic use; D017211:Treatment Failure; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
D000897:Anti-Ulcer Agents; D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives; D014662:Vasoconstrictor Agents; D009853:Omeprazole; D004837:Epinephrine