کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3254154 1207182 2013 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Acute upper gastrointestinal bleeding (UGIB) – Initial evaluation and management
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی غدد درون ریز، دیابت و متابولیسم
پیش نمایش صفحه اول مقاله
Acute upper gastrointestinal bleeding (UGIB) – Initial evaluation and management
چکیده انگلیسی

Acute upper gastrointestinal bleeding (UGIB) is the most common reason that the ‘on-call’ gastroenterologist is consulted. Despite the diagnostic and therapeutic capabilities of upper endoscopy, there is still significant associated morbidity and mortality in patients experiencing acute UGIB, thus this is a true GI emergency. Acute UGIB is divided into non-variceal and variceal causes. The most common type of acute UGIB is ‘non-variceal’ and includes diagnoses such as peptic ulcer (gastric and duodenal), gastroduodenal erosions, Mallory–Weiss tears, erosive oesophagitis, arterio-venous malformations, Dieulafoy's lesion, and upper GI tract tumours and malignancies. This article focuses exclusively on initial management strategies for acute upper GI bleeding. We discuss up to date and evidence-based strategies for patient risk stratification, initial patient management prior to endoscopy, potential causes of UGIB, role of proton pump inhibitors, prokinetic agents, prophylactic antibiotics, vasoactive pharmacotherapies, and timing of endoscopy.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Best Practice & Research Clinical Gastroenterology - Volume 27, Issue 5, October 2013, Pages 633–638
نویسندگان
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