Towards personalised management for non-variceal upper gastrointestinal bleeding
- 1 March 2021
- Vol. 70 (5), 818-824
- https://doi.org/10.1136/gutjnl-2020-323846
Abstract
Guidelines from national and international professional societies on upper gastrointestinal bleeding highlight the important clinical issues but do not always identify specific management strategies pertaining to individual patients. Optimal treatment should consider the personal needs of an individual patient and the pertinent resources and experience available at the point of care. This article integrates international guidelines and consensus into three stages of management: pre-endoscopic assessment and treatment, endoscopic evaluation and haemostasis and postendoscopic management. We emphasise the need for personalised management strategies based on patient characteristics, nature of bleeding lesions and the clinical setting including available resources.Keywords
This publication has 37 references indexed in Scilit:
- Transfusion Strategies for Acute Upper Gastrointestinal BleedingThe New England Journal of Medicine, 2013
- The role of endoscopy in the management of acute non-variceal upper GI bleedingGastrointestinal Endoscopy, 2012
- Clopidogrel with or without Omeprazole in Coronary Artery DiseaseThe New England Journal of Medicine, 2010
- Second‐look endoscopy with thermal coagulation or injections for peptic ulcer bleeding: A meta‐analysisJournal of Gastroenterology and Hepatology, 2009
- High Incidence of Mortality and Recurrent Bleeding in Patients With Helicobacter pylori–Negative Idiopathic Bleeding UlcersGastroenterology, 2009
- Omeprazole before Endoscopy in Patients with Gastrointestinal BleedingThe New England Journal of Medicine, 2007
- Clopidogrel versus Aspirin and Esomeprazole to Prevent Recurrent Ulcer BleedingThe New England Journal of Medicine, 2005
- Celecoxib versus Diclofenac and Omeprazole in Reducing the Risk of Recurrent Ulcer Bleeding in Patients with ArthritisThe New England Journal of Medicine, 2002
- Preventing Recurrent Upper Gastrointestinal Bleeding in Patients withHelicobacter pyloriInfection Who Are Taking Low-Dose Aspirin or NaproxenThe New England Journal of Medicine, 2001
- Endoscopic Retreatment Compared with Surgery in Patients with Recurrent Bleeding after Initial Endoscopic Control of Bleeding UlcersThe New England Journal of Medicine, 1999