Over the past three decades important progress has been made in the diagnosis and treatment of non-variceal upper gastrointestinal bleeding. We discuss the endoscopic techniques available today in combination therapies. The data in the literature regarding endoscopic techniques are discordant and no single technique has proved statistically superior in the management of bleeding. We believe that the initial injection approach is still the procedure of choice, particularly when performed by less expert endoscopists.

Download full-text PDF

Source

Publication Analysis

Top Keywords

treatment non-variceal
8
non-variceal upper
8
upper gastrointestinal
8
endoscopic techniques
8
[role endoscopy
4
endoscopy treatment
4
gastrointestinal hemorrhage]
4
hemorrhage] three
4
three decades
4
decades progress
4

Similar Publications

ABC score is a better predictor for 30-day mortality in upper gastrointestinal bleeding: A prospective single-center study.

Indian J Gastroenterol

December 2024

Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576 104, India.

Article Synopsis
  • Acute upper gastrointestinal bleeding (UGIB) has a significant mortality rate of around 10%, and while existing scoring systems exist, none effectively predict mortality outcomes.
  • This study conducted in India compared the newly developed ABC score, based on age, blood tests, and comorbidities, against other pre-existing scoring systems to assess its effectiveness in predicting mortality.
  • Results showed the ABC score had the highest accuracy (AUROC of 0.75) in predicting 30-day mortality, particularly showing better performance in patients with variceal bleeding compared to non-variceal bleeding.
View Article and Find Full Text PDF

Introduction: Most studies have shown a declining incidence of upper gastrointestinal bleeding (UGIB) in recent years. Data regarding mortality were controversial; in non-variceal bleeding, the increasing age of the population, increased use of anti-thrombotic and anticoagulant therapy in patients with cardiovascular diseases, and the use of non-steroidal anti-inflammatory drugs are counterbalanced by the progress in endoscopic therapy with stable mortality.

Material And Method: We performed a retrospective, cross-sectional study that included patients admitted with UGIB in Clinical Emergency Hospital Craiova during 2013-2020.

View Article and Find Full Text PDF
Article Synopsis
  • The article discusses a recent study by Wang on acute non-variceal upper gastrointestinal bleeding (ANVUGIB), a serious gastroenterological emergency.
  • The research analyzed over 530 patients at a high-volume center in Shaanxi, China, revealing a younger patient demographic and a greater prevalence of gastric and duodenal ulcers compared to European studies.
  • It underscores the significance of endoscopic treatment as the preferred management approach and the need to follow current guidelines for effective treatment of ANVUGIB.
View Article and Find Full Text PDF
Article Synopsis
  • The study looked at how often and why non-variceal upper gastrointestinal bleeding (NVUGIB) occurs in hospitalized COVID-19 patients, as well as the impact of this condition on patient outcomes.
  • Among over a million hospitalized patients, 1.87% experienced NVUGIB, with Asian Americans at the highest risk followed by other racial groups, and patients with higher Charlson Comorbidity Index scores also faced increased risk.
  • COVID-19 patients who developed NVUGIB had significantly worse outcomes, including much higher rates of mortality and severe complications like kidney injury and cardiac arrest, highlighting the need for better prevention strategies.
View Article and Find Full Text PDF
Article Synopsis
  • The study examines the best timing for endoscopy in elderly patients (65+) experiencing nonvariceal upper gastrointestinal bleeding (NVUGIB) and its effect on clinical outcomes.
  • Very early endoscopy (within 12 hours) showed significantly lower 30-day mortality rates and reduced need for surgical interventions compared to late endoscopy (after 24 hours).
  • Patients who had late endoscopy were more likely to experience rebleeding, indicating timing is crucial for improving patient outcomes in this demographic.
View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!