ENDOSCOPIC MANAGEMENT OF NON-VARICEAL UPPER GASTROINTESTINAL HAEMORRHAGE
Vu Kwan,
Ian D. Norton,
Vu Kwan
* Department of Gastroenterology, Concord Hospital and † Department of Gastroenterology, Royal North Shore Hospital, Sydney, New South Wales, Australia
Search for more papers by this authorCorresponding Author
Ian D. Norton
* Department of Gastroenterology, Concord Hospital and † Department of Gastroenterology, Royal North Shore Hospital, Sydney, New South Wales, Australia
Dr Ian D. Norton, Department of Gastroenterology, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.Email: [email protected]Search for more papers by this authorVu Kwan,
Ian D. Norton,
Vu Kwan
* Department of Gastroenterology, Concord Hospital and † Department of Gastroenterology, Royal North Shore Hospital, Sydney, New South Wales, Australia
Search for more papers by this authorCorresponding Author
Ian D. Norton
* Department of Gastroenterology, Concord Hospital and † Department of Gastroenterology, Royal North Shore Hospital, Sydney, New South Wales, Australia
Dr Ian D. Norton, Department of Gastroenterology, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.Email: [email protected]Search for more papers by this authorV. Kwan MB BS, FRACP; I. D. Norton MB BS, PhD, FRACP.
Abstract
Endoscopy plays a central role in the diagnosis and treatment of non-variceal upper gastrointestinal haemorrhage. Advances in endoscopic techniques, supported by an increasing body of high quality data, have rendered endoscopy the first-line diagnostic and therapeutic intervention for the patient presenting with an upper gastrointestinal haemorrhage. However, endoscopic intervention must be considered in the context of the overall management of the bleeding patient, often with significant comorbidities. Although parameters such as hospitalization duration, transfusion requirements and surgery rates have improved with advances in endoscopic therapy, mortality rates remain relatively static. This review addresses the current status of endoscopic intervention for non-variceal upper gastrointestinal haemorrhage. Additionally, an overview of important periprocedural management issues is presented.
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