Endoscopic Management of Nonvariceal Gastrointestinal Bleeding

Overview

Journal World J Surg

Publisher Wiley

Specialty General Surgery

Date 1992 Nov 1

PMID 1455870

Citations 4

Authors

C P Steffes

C Sugawa

Affiliations

Soon will be listed here.

Abstract

Endoscopic management of upper gastrointestinal bleeding has been expanded from a purely diagnostic role to a therapeutic role in many patients. In addition to controlling active bleeding, it is an option in a patient who is clinically at a high risk of rebleeding, or in patients who have peptic ulcers with visible vessels or stigmata indicating high risk. Several methods have been studied, and currently the most useful include thermal cautery with the heater probe or bipolar electrocoagulation, and injection using epinephrine and/or sclerosants. Endoscopic hemostasis can effect permanent control of bleeding in many patients, but should be considered complementary to conventional surgical control in other patients, where temporary control to stabilize the patient is a desired end.

Citing Articles

Application of endoscopic hemoclips for nonvariceal bleeding in the upper gastrointestinal tract.

Guo S, Gong A, Leng J, Ma J, Ge L World J Gastroenterol. 2009; 15(34):4322-6.

PMID: 19750577 PMC: 2744190. DOI: 10.3748/wjg.15.4322.

Current therapy for nonvariceal upper gastrointestinal bleeding.

Blocksom J, Tokioka S, Sugawa C Surg Endosc. 2003; 18(2):186-92.

PMID: 14625723 DOI: 10.1007/s00464-003-8155-4.

Endoscopic hemoclip treatment for bleeding peptic ulcer.

Lai Y, Yang S, Wu C, Chen T World J Gastroenterol. 2002; 6(1):53-56.

PMID: 11819522 PMC: 4723597. DOI: 10.3748/wjg.v6.i1.53.

Combined use of laparoscopy and endoscopy in diagnosing and treating Dieulafoy's vascular malformations of the stomach.

Ferzli G, Ozuner G, Shaps J, Kiel T Surg Endosc. 1994; 8(4):332-4.

PMID: 8209306 DOI: 10.1007/BF00590965.

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