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Acute gastrointestinal bleeding – a new approach to clinical and endoscopic management
- Source :
- European Journal of Gastroenterology & Hepatology. 27:483-491
- Publication Year :
- 2015
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2015.
-
Abstract
- Overt or occult gastrointestinal bleeding is a frequently observed condition in routine gastroenterological practice. Occult gastrointestinal bleeding is usually a purely incidental finding, based on the discovery of iron deficiency anemia in the laboratory or blood in stool (a positive Hemoccult test). However, overt bleeding accompanied by the clinical features of tarry stool, hematemesis, or hematochezia may be a life-threatening condition, calling for immediate emergency management. In contrast to traumatology, algorithms of emergency and intensive medicine are not sufficiently validated yet for acute life-threatening bleeding. The purpose of this review was to present all established and new endoscopic hemostasis techniques and to evaluate their efficacy, as well as to provide the treating endoscopist with practical advice on how he/she could incorporate these procedures into acute medical management. The recommendations are based on inspection of the study results in the recent published literature, as well as emergency medicine algorithms in traumatology.
- Subjects :
- Gastrointestinal bleeding
medicine.medical_specialty
Epinephrine
MEDLINE
Traumatology
Argon plasma coagulation
Risk Assessment
Gastroenterology
Hemostatics
Internal medicine
medicine
Humans
Vasoconstrictor Agents
Ligation
Minerals
Argon Plasma Coagulation
Hepatology
business.industry
General surgery
Hemostasis, Endoscopic
medicine.disease
Occult
Hematochezia
Iron-deficiency anemia
Hemostasis
Acute Disease
medicine.symptom
Gastrointestinal Hemorrhage
business
Subjects
Details
- ISSN :
- 0954691X
- Volume :
- 27
- Database :
- OpenAIRE
- Journal :
- European Journal of Gastroenterology & Hepatology
- Accession number :
- edsair.doi.dedup.....311a3d9f0a1b1d4d415c3143b2e5b279
- Full Text :
- https://doi.org/10.1097/meg.0000000000000343