Management of Non-Variceal Upper Gastrointestinal Bleeding.

Hyunchul Lim
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Abstract

Acute non-variceal upper gastrointestinal bleeding (NVUGIB) is a significant medical emergency associated with high morbidity and 5%-10% mortality. NVUGIB originates from sources proximal to the ligament of Treitz and primarily encompasses peptic ulcer bleeding, Mallory-Weiss tears, and malignant lesions. This review aims to summarize the standardized, multidisciplinary management strategies for NVUGIB. Patient care can be categorized into three distinct phases: pre-endoscopy, endoscopic intervention, and post-endoscopy management. The relevant therapeutic approaches were based on recommendations from major international guidelines, including the American College of Gastroenterology (ACG), European Society of Gastrointestinal Endoscopy (ESGE), and the guidelines published in the Korean Journal of Gastroenterology.

Abstract Image

非静脉曲张性上消化道出血的处理。
急性非静脉曲张性上消化道出血(NVUGIB)是一种重要的急症,发病率高,死亡率5%-10%。NVUGIB起源于Treitz韧带近端,主要包括消化性溃疡出血、Mallory-Weiss撕裂和恶性病变。本文旨在总结NVUGIB的标准化、多学科管理策略。患者护理可分为三个不同的阶段:内镜检查前、内镜干预和内镜检查后管理。相关的治疗方法是基于主要国际指南的建议,包括美国胃肠病学学会(ACG),欧洲胃肠内镜学会(ESGE),以及发表在韩国胃肠病学杂志上的指南。
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