Open AccessUpper non-variceal gastrointestinal bleeding - review the effectiveness of endoscopic hemostasis methods
Author(s) -
Mirosław Szura,
Artur Pasternak
Publication year - 2015
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v7.i13.1088
Subject(s) - medicine , upper gastrointestinal bleeding , hemostasis , endoscopy , peptic , gastrointestinal bleeding , aspirin , helicobacter pylori , blood transfusion , surgery , varices , gastroenterology , peptic ulcer , cirrhosis
Upper non-variceal gastrointestinal bleeding is a condition that requires immediate medical intervention and has a high associated mortality rate (exceeding 10%). The vast majority of upper gastrointestinal bleeding cases are due to peptic ulcers. Helicobacter pylori infection, non-steroidal anti-inflammatory drugs and aspirin are the main risk factors for peptic ulcer disease. Endoscopic therapy has generally been recommended as the first-line treatment for upper gastrointestinal bleeding as it has been shown to reduce recurrent bleeding, the need for surgery and mortality. Early endoscopy (within 24 h of hospital admission) has a greater impact than delayed endoscopy on the length of hospital stay and requirement for blood transfusion. This paper aims to review and compare the efficacy of the types of endoscopic hemostasis most commonly used to control non-variceal gastrointestinal bleeding by pooling data from the literature.