Evidence-based management of non-variceal upper GI bleeding

Saved in:
Bibliographic Details
Other Authors: Sung, Joseph J. Y. (Joseph Jao Yiu) 1959- (Speaker)
Format: Electronic Video
Language:English
Published: London : Henry Stewart Talks, 2011.
Series:Henry Stewart talks. Biomedical & life sciences collection. Gastroenterology and hepatology.
Subjects:
Online Access:https://hstalks.com/bs/1914/
Series
Tags: Add Tag
No Tags, Be the first to tag this record!
Table of Contents:
  • Contents: Upper gastrointestinal bleeding is an important medical emergency
  • The literature has provided many evidence-based management strategies
  • Early endoscopy within 24 hours should be provided
  • Injection for active ulcer bleeding should not be used as a monotherapy
  • Thermal device (heat probe) is comparable to mechanical device (hemoclips)
  • Underlying vessel beneath blood clot should exposed and treated
  • Pre-endoscopy use of proton pump inhibitor may reduce need for endoscopic therapy
  • Intravenous proton pump inhibitor is an important adjuvant to endoscopic therapy
  • Routine second-look endoscopy is not recommended
  • Surgery is still providing the ultimate hemostasis in selected cases
  • Support of cardiopulmonary conditions is important to reduce mortality
  • Anti-platelet agent should be restarted as soon as patient's condition stabilizes.