内镜下止血治疗非静脉曲张胃十二指肠出血的最新进展。

IF 2.5 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Current Opinion in Gastroenterology Pub Date : 2025-11-01 Epub Date: 2025-09-17 DOI:10.1097/MOG.0000000000001133

Himesh B Zaver, Mary S McGrath, Andrew Y Wang

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引用次数: 0

摘要

综述的目的：提供非静脉曲张上消化道出血治疗的最新概况，重点介绍内镜止血技术和循证临床实践的最新进展。最近的发现：最近的研究和社会指导强调了早期分诊、限制性输血策略和整合风险分层工具对非静脉曲张上消化道出血管理的重要性。内窥镜止血方式的显著进步包括帽辅助夹，非接触式热疗法，以及可用的局部止血剂的扩展。总结：有效的非静脉曲张上消化道出血管理需要多学科的方法，优先考虑早期复苏、风险评估和使用不断发展的内窥镜技术来实现最佳止血。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Updates in endoscopic hemostasis for nonvariceal gastroduodenal bleeding.

Purpose of review: To provide an updated overview of the management of nonvariceal upper gastrointestinal bleeding, focusing on recent advancements in endoscopic hemostasis techniques and evidence-based clinical practices.

Recent findings: Recent studies and societal guidance emphasize the importance of early triage, restrictive transfusion strategies, and the integration of risk stratification tools for management of nonvariceal upper gastrointestinal bleeding. Notable advancements in endoscopic modalities for hemostasis include cap-assisted clips, noncontact thermal therapies, and the expansion of available topical hemostatic agents.

Summary: Effective nonvariceal upper gastrointestinal bleeding management requires a multidisciplinary approach that prioritizes early resuscitation, risk assessment, and the use of evolving endoscopic technologies to achieve optimal hemostasis.

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来源期刊

Current Opinion in Gastroenterology 医学-胃肠肝病学

CiteScore

5.30

自引率

0.00%

发文量

137

审稿时长

6-12 weeks

期刊介绍： Published bimonthly and offering a unique and wide ranging perspective on the key developments in the field, each issue of Current Opinion in Gastroenterology features hand-picked review articles from our team of expert editors. With twelve disciplines published across the year – including gastrointestinal infections, nutrition and inflammatory bowel disease – every issue also contains annotated references detailing the merits of the most important papers.