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ENDOSCOPIC MANAGEMENT OF NON‐VARICEAL UPPER GASTROINTESTINAL HAEMORRHAGE
Author(s) -
Kwan Vu,
Norton Ian D.
Publication year - 2007
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2007.04023.x
Subject(s) - medicine , endoscopy , upper gastrointestinal bleeding , context (archaeology) , therapeutic endoscopy , intervention (counseling) , gastrointestinal bleeding , intensive care medicine , surgery , general surgery , paleontology , psychiatry , biology
Endoscopy plays a central role in the diagnosis and treatment of non‐variceal upper gastrointestinal haemorrhage. Advances in endoscopic techniques, supported by an increasing body of high quality data, have rendered endoscopy the first‐line diagnostic and therapeutic intervention for the patient presenting with an upper gastrointestinal haemorrhage. However, endoscopic intervention must be considered in the context of the overall management of the bleeding patient, often with significant comorbidities. Although parameters such as hospitalization duration, transfusion requirements and surgery rates have improved with advances in endoscopic therapy, mortality rates remain relatively static. This review addresses the current status of endoscopic intervention for non‐variceal upper gastrointestinal haemorrhage. Additionally, an overview of important periprocedural management issues is presented.