What Is the Best Endoscopic Strategy in Acute Non-variceal Gastrointestinal Bleeding?

Current Treatment Options in Gastroenterology
Livio CipollettaMario Traina

Abstract

PURPOSE OF REVIEW: Upper non-variceal gastrointestinal bleeding (UNVGIB) remains an important clinical challenge for endoscopists, requiring skill and expertise for correct management. In this paper, we suggest the best strategy for an effective treatment of this complex category of patients. Early endoscopic examination, the increasingly widespread use of endoscopic hemostasis methods, and the most powerful antisecretory agents that induce clot stabilization have radically modified the clinical scenario for treating this pathology. While hospitalization for digestive hemorrhage is decreasing, the incidence of bleeding seems to be increasing, especially in the elderly for whom a greater use of gastrolesive drugs and the presence of comorbidities are more common. A multidisciplinary approach for initial patient evaluation and hemodynamic resuscitation prior to endoscopic treatment is crucial for correct management, prevention of rebleeding, and reduction of morbidity and mortality rates and hospital stays. Appropriate operator technical expertise, together with the availability of a wide range of endoscopes and devices, is mandatory. Newer endoscopic techniques may improve patient outcomes for difficult-to-treat lesions. Today, ...Continue Reading

References

Feb 1, 1995·Endoscopy·N D'ImperioP P Dal Monte
Mar 1, 1996·Gut·T A RockallT C Northfield
Jun 3, 2000·Gastroenterology Clinics of North America·T J Savides, D M Jensen
Aug 23, 2000·Baillière's Best Practice & Research. Clinical Gastroenterology·N I Church, K R Palmer
Apr 20, 2004·The American Journal of Gastroenterology·Robin BaradarianScott Tenner
Feb 22, 2007·The American Journal of Gastroenterology·Riccardo MarmoLivio Cipolletta
Jun 20, 2008·The American Journal of Gastroenterology·Riccardo MarmoGianluca Rotondano
Oct 22, 2008·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·A RepiciA Malesci
Nov 7, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Loren Laine, Kenneth R McQuaid
Jul 23, 2009·Canadian Journal of Gastroenterology = Journal Canadien De Gastroenterologie·J J Liu, J R Saltzman
Sep 17, 2009·The American Journal of Gastroenterology·Joseph J Y SungPhilip W Y Chiu
Jan 20, 2010·Annals of Internal Medicine·Alan N BarkunUNKNOWN International Consensus Upper Gastrointestinal Bleeding Conference Group
Oct 26, 2010·Gastrointestinal Endoscopy·Alan N BarkunJoseph J Y Sung
Jan 11, 2012·Nature Reviews. Gastroenterology & Hepatology·Marc BardouAlan N Barkun
Feb 9, 2012·The American Journal of Gastroenterology·Loren Laine, Dennis M Jensen
Jun 5, 2012·Gastrointestinal Endoscopy·Pichamol JirapinyoChristopher C Thompson
Jun 5, 2012·Gastrointestinal Endoscopy·Subhas BanerjeeSarah A Rodriguez
Feb 6, 2013·The American Journal of Gastroenterology·Grigorios I LeontiadisColin W Howden
Apr 5, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Rui HuangKaichun Wu
Aug 21, 2013·Gastrointestinal Endoscopy·Sukhpreet S WaliaYan S Zhao
Sep 6, 2013·The American Journal of Gastroenterology·Riccardo MarmoGianluca Rotondano
Sep 21, 2013·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Shoba TheivanayagamMatthew L Bechtold
Feb 7, 2014·Canadian Journal of Gastroenterology & Hepatology·Alan Hoi Lun YauRobert Allan Enns
Jan 16, 2015·Endoscopy·I Lisanne HolsterEric T T L Tjwa
May 7, 2015·International Journal of Colorectal Disease·Antonino GranataMario Traina
May 13, 2015·Gastroenterology·Philip Wai Yan ChiuJames Yun Wong Lau
Jun 27, 2015·Endoscopy·Antonino GranataMario Traina
Jan 10, 2017·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Monica ArenaCarmelo Luigiano

❮ Previous
Next ❯

Citations

Apr 5, 2020·Journal of Clinical Medicine·Claudio Giovanni De AngelisRinaldo Pellicano
Feb 23, 2019·World Journal of Gastrointestinal Endoscopy·Kyoungwon Jung, Won Moon
Oct 17, 2019·World Journal of Clinical Cases·Daniela Cornelia LazărAdrian Goldiş

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Related Papers

Gastrointestinal Endoscopy Clinics of North America
Cristina BucciRiccardo Marmo
Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences
Jing ZhangLi-ya Zhou
Current Opinion in Critical Care
Amir Klein, Ian M Gralnek
© 2022 Meta ULC. All rights reserved