#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

New trends in treatment of non-variceal bleeding in the upper gastrointestinal tract


Authors: Radan Keil;  Ladislav Douda
Authors‘ workplace: Interní klinika 2. LF UK a FN Motol Praha, přednosta prof. MUDr. Milan Kvapil, CSc., MBA
Published in: Vnitř Lék 2015; 61(7-8): 686-690
Category: Vanýsek´s day 2015

Overview

Acute upper gastrointestinal tract bleeding is a life-threatening incident in which a right diagnostic and therapeutic approach is necessary. Beside the standards in endoscopic hemostasis (adrenalin injection, hemostatic clips) there are some new technologies in endoscopic hemostasis.

Key words:
Haemospray – hemostasis – OVESCO clip – upper gastrointestinal tract bleeding


Sources

1. Targownik LE, Nabalamba A. Trends in management and outcomes of acute nonvariceal upper gastrointestinal bleeding: 1993–2003. Clin Gastroenterol Hepatol 2006; 4(12): 1459–1466.

2. Yavorski RT, Wong RK, Maydonovitch C et al. Analysis of 3,294 cases of upper gastrointestinal bleeding in military medical facilities. Am J Gastroenterol 1995; 90(4): 568–573.

3. Rockall TA, Logan RFA, Devlin HB et al. Risk assessment after acute upper gastrointestinal haemorrhage. Gut 1996; 38(3): 316–321.

4. Longstreth GF. Epidemiology of hospitalization for acute upper gastrointestinal hemorrhage: a population based study. Am J Gastroenterol 1995; 90(2): 206–210.

5. van Leerdam ME, Vreeburg EM, Rauws EAJ et al. Acute upper GI bleeding: did anything change? Time trend analysis of incidence and outcome of acute upper GI bleeding between 1993/1994 and 2000. Am J Gastroenterol 2003 Jul; 98(7): 1494–1499.

6. Konečný M, Procházka V. Krvácení do dolní části gastrointestinálního traktu. Postgraduální medicína 2013; 15(3): 312–316.

7. Ehrlich PF, Rockwell S, Kincaid S et al. American College of Surgeons, Committee on Trauma Verification Review: does it really make a difference?J Trauma 2002; 53(5): 811–816.

8. Palmer ED. The vigorous diagnostic approach to upper-gastrointestinal tract hemorrhage. A 23-year prospective study of 1,4000 patients. JAMA 1969; 207(8): 1477–1480.

9. Jutabha R, Jensen DM. Management of upper gastrointestinal bleeding in the patient with chronic liver disease. Med Clin North Am 1996; 80(5):1035–1068.

10. Adang RP, Vismans JF, Talmon JL et al. Appropriateness of indications for diagnostic upper gastrointestinal endoscopy: association with relevant endoscopic disease. Gastrointest Endosc 1995; 42(5): 390–397.

11. Wolf AT, Wasan SK, Saltzman JR. Impact of anticoagulation on rebleeding following endoscopic therapy for nonvariceal upper gastrointestinal hemorrhage. Am J Gastroenterol 2007; 102(2): 290–296.

12. Balderas V, Bhore R, Lara LF et al. The hematocrit level in upper gastrointestinal hemorrhage: safety of endoscopy and outcomes. Am J Med 2011; 124(10): 970–976.

13. Farrell JJ, Friedman LS. Review article: the management of lower gastrointestinal bleeding. Aliment Pharmacol Ther 2005; 21(11):1281–1298.

14. Jensen DM, Machicado GA. Diagnosis and treatment of severe hematochezia. The role of urgent colonoscopy after purge. Gastroenterology 1988; 95(6):1569–1574.

15. Van Gossum A, Bourgeois F, Gay F et al. Operative colonoscopic endoscopy. Acta Gastroenterol Belg 1992; 55(3): 314–326.

16. Machicado GA, Jensen DM. Acute and chronic management of lower gastrointestinal bleeding: cost-effective approaches. Gastroenterologist 1997; 5(3): 189–201.

17. Laine L, Peterson WL. Bleeding peptic ulcer. N Engl J Med 1994; 331(11): 717–727.

18. Jensen DM, Ahlbom H, Eklund S et al. Rebleeding Risk for Oozing Peptic Ulcer Bleeding (PUB) in a Large International Study—A Reassessment Based Upon a Multivariate Analysis. Gastrointest Endosc 2010; 71(5): AB117.

19. Naegel A, Bolz J, Zopf Y et al. Hemodynamic efficacy of the over-the-scope clip (OTSC) in an established cadaveric model for spurting bleeding. Gastrointest Endosc 2012; 75(1): 152–159.

20. Kirschniak A, Kratt T, Stüker D et al. A new endoscopic over-the-scope clip system for treatment of lesions and bleeding in the GI tract: first clinical experiences. Gastrointest Endosc 2007; 66(1): 162–167.

21. Kirschniak A, Subotova N, Zieker D et al. The Over-The-Scope Clip (OTSC) for the treatment of gastrointestinal bleeding, perforations, and fistulas. Surg Endosc 2011; 25(9): 2901–2905.

22. Albert JG, Friedrich-Rust M, Woeste G et al. Benefit of a clipping device in use in intestinal bleeding and intestinal leakage. Gastrointest Endosc 2011; 74(2): 389–397.

23. Yau AH, Ou G, Galorport C al. Safety and efficacy of Hemospray® in upper gastrointestinal bleeding. Can J Gastroenterol Hepatol 2014; 28(2): 72–76.

Labels
Diabetology Endocrinology Internal medicine

Article was published in

Internal Medicine

Issue 7-8

2015 Issue 7-8

Most read in this issue
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#