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Acute gastrointestinal bleeding – a new approach to clinical and endoscopic management

Authors :
Johannes W. Rey
Dominik Heuberger
Marc Nguyen-Tat
Daniel Teubner
Marc Dieroff
Arthur Hoffman
Ralf Kiesslich
Hendrik Manner
Andreas Fischbach
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.

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