| Title |
Ūminio nevarikozinio kraujavimo įvertinimo ir stabdymo protokolas (praktinis siūlymas) / |
| Translation of Title |
Acute non-variceal bleeding assessment and hemostasis protocol. |
| Authors |
Valantinas, Jonas |
| DOI |
10.15388/LietChirur.2005.1.2334 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2005, t. 3, Nr. 1, p. 60-64.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
acute non-variceal bleeding ; haemostasis ; endoscopy |
| Abstract [eng] |
The management of patients with acute non-variceal upper gastrointestinal bleeding has evolved substantially over the past ten years. This article reviews the currently available treatment methods in cases of upper gastrointestinal bleeding and provides evidence-based management recommendations that address clinically relevant issues. We emphasise an appropriate initial resuscitation of the patient and a multidisciplinary approach to clinical risk stratification that determines the need for early endoscopy. A soon as the effectiveness of upper endoscopy has been established, its optimal timing has to be clearly defined. Endoscopic hemostasis is reserved for patients with high rebleeding risk endoscopic lesions. Routine second look endoscopy is not recommended. Proton pomp inhibitors therapy is useful only in a selected group of patients, namely those with ulcers having endoscopic high risk stigmata of rebleeding (nonbleeding visible vessel, adherent clot or active bleeding at the time of endoscopy). Patients with upper gastrointestinal bleeding should be tested for Helicobacter pylori infection and receive eradication therapy if infection is present. This review should be considered as a recommendation and hospitals should develop institution-specific protocols according to their resources. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2005 |
| CC license |
|
