How Can We Maximize Skills for Non-Variceal Upper Gastrointestinal Bleeding: Injection, Clipping, Burning, or Others?
| Autor: | Il Kwun Chung |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Clipping (audio)
medicine.medical_specialty Special Issue Articles of IDEN 2012 Hemostasis medicine.diagnostic_test business.industry Session I - Upper Gut Gastroenterology Medicine (miscellaneous) Endoscopy medicine.disease The primary diagnosis Surgery Lesion medicine Radiology Nuclear Medicine and imaging Upper gastrointestinal bleeding medicine.symptom business Risk classification Non-variceal UGI bleeding Thermal methods |
| Zdroj: | Clinical Endoscopy |
| ISSN: | 2234-2443 2234-2400 |
| Popis: | Endoscopy has its role in the primary diagnosis and management of acute non-variceal upper gastrointestinal bleeding. Main roles of endoscopy are identifying high risk stigmata lesion, and performing endoscopic hemostasis to lower the rebleeding and mortality risks. Early endoscopy within the first 24 hours enables risk classification according to clinical and endoscopic criteria, which guide safe and prompt discharge of low risk patients, and improve outcomes of high risk patients. Techniques including injection therapy, ablative therapy and mechanical therapy have been studied over the recent decades. Combined treatment is more effective than injection treatment, and single treatment with mechanical or thermal method is safe and effective in peptic ulcer bleeding. Specific treatment and correct decisions are needed in various situations depending on the site, location, specific characteristics of lesion and patient's clinical conditions. |
| Databáze: | OpenAIRE |
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