Role of endoscopy in acute gastrointestinal bleeding in real clinical practice: An evidence-based review

World Journal of Gastrointestinal Endoscopy
Kyoungwon Jung, Won Moon

Abstract

Although upper gastrointestinal bleeding is usually segregated from lower gastrointestinal bleeding, and guidelines for gastrointestinal bleeding are divided into two separate sections, they may not be distinguished from each other in clinical practice. Most patients are first observed with signs of bleeding such as hematemesis, melena, and hematochezia. When a patient with these symptoms presents to the emergency room, endoscopic diagnosis and treatment are considered together with appropriate initial resuscitation. Especially, in cases of variceal bleeding, it is important for the prognosis that the endoscopy is performed immediately after the patient stabilizes. In cases of suspected lower gastrointestinal bleeding, full colonoscopy after bowel preparation is effective in distinguishing the cause of the bleeding and treating with hemostasis. The therapeutic aspect of endoscopy, using the mechanical method alone or injection with a certain modality rather than injection alone, can increase the success rate of bleeding control. Therefore, it is important to consider the origin of bleeding and how to approach it. In this article, we aim to review the role of endoscopy in diagnosis, treatment, and prognosis in patients with acut...Continue Reading

References

Aug 17, 1974·Lancet·J A ForrestD J Shearman
Jul 1, 1995·Digestive Diseases and Sciences·A M Korkis, C J McDougall
Mar 1, 1996·Gut·T A RockallT C Northfield
Aug 30, 1997·BMJ : British Medical Journal·O BlatchfordJ Pell
Jan 13, 2000·The New England Journal of Medicine·D M JensenT O Kovacs
Oct 12, 2000·The Medical Clinics of North America·M A FallahS Edmundowicz
Jun 27, 2001·Scandinavian Journal of Gastroenterology·K C ThomopoulosV N Nikolopoulou
Sep 22, 2001·Clinics in Liver Disease·R de Franchis, M Primignani
Jun 22, 2002·The Cochrane Database of Systematic Reviews·K Soares-WeiserL Leibovici
Jan 9, 2003·Gastrointestinal Endoscopy·Stephen J RudolphMartin L Freeman
Sep 24, 2004·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Alberto MonescilloElena Peña
Nov 18, 2004·American Journal of Surgery·Thomas AnthonyRobert V Rege
Feb 24, 2005·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Nicholas J ShaheenRoshan Shrestha
Nov 24, 2005·Gastroenterology Clinics of North America·Lisa L Strate
Nov 24, 2005·Gastroenterology Clinics of North America·Sauyu Lin, Don C Rockey
Jun 15, 2006·The American Journal of Gastroenterology·Nicholas CarbonellRaoul Poupon
Nov 30, 2006·Langenbeck's Archives of Surgery·Antonio RíosPascual Parrilla
Jun 27, 2007·Gastrointestinal Endoscopy·Virender K SharmaDavid E Fleischer
Sep 20, 2007·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Guadalupe Garcia-TsaoUNKNOWN Practice Parameters Committee of the American College of Gastroenterology
Jun 19, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Lisa L StrateSapna Syngal
Sep 18, 2008·The American Journal of Gastroenterology·Louis M Wong Kee Song, Todd H Baron
Nov 7, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Loren Laine, Kenneth R McQuaid
May 5, 2009·Gastrointestinal Endoscopy·Jason D ConwayWilliam M Tierney
Dec 29, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Lisa L Strate, Christopher R Naumann
Jul 22, 2010·The American Journal of Gastroenterology·Loren Laine, Abbid Shah
Oct 13, 2010·International Journal of Surgery·Kathy K LeeMichael A Moser
Apr 8, 2011·Gut·Joseph J Y SungUNKNOWN Asia-Pacific Working Group
Apr 13, 2011·Hepatology International·Shiv Kumar SarinUNKNOWN Asian Pacific Association for the Study of the Liver (APASL) Working Party on Portal Hypertension
Sep 29, 2011·Gastrointestinal Endoscopy·Naoki IshiiYoshiyuki Fujita
Sep 29, 2011·Gastrointestinal Endoscopy Clinics of North America·Thomas O G Kovacs, Dennis M Jensen
Apr 3, 2012·World Journal of Gastroenterology : WJG·Dekey Y Lhewa, Lisa L Strate
Jun 5, 2012·Gastrointestinal Endoscopy·Aparna RepakaRichard C K Wong
Jun 20, 2012·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Y SekinoM Inamori

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Citations

Aug 5, 2020·Internal and Emergency Medicine·Ekrem Aslan
Mar 27, 2021·Current Gastroenterology Reports·Eugene StolowSandeep Patel
Sep 29, 2020·Emergency Medicine Clinics of North America·Katrina D'Amore, Anand Swaminathan
Apr 17, 2021·BMJ Case Reports·Swastik MishraTushar Subhadarshan Mishra

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