Endoscopic management of nonvariceal upper gastrointestinal bleeding

被引：9

作者：

Canamares-Orbis, Pablo ^{[1
]}

Chan, Francis K. L. ^{[2
]}

机构：

[1] Univ Clin Hosp Lozano Blesa, Aragon Hlth Res Inst IIS Aragon, Serv Digest Dis, Ave San Juan Bosco 15, Zaragoza 50009, Spain

[2] Chinese Univ Hong Kong, Fac Med, Dept Med & Therapeut, Hong Kong, Peoples R China

来源：

BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY | 2019年 / 42-43卷

关键词：

Upper gastrointestinal bleeding; Peptic ulcer; Endoscopic therapy; Ovesco; Hemospray (R); Second-look; Doppler endoscopic ultrasound; Antiplatelet; Anticoagulants; TRANSCATHETER ARTERIAL EMBOLIZATION; PUMP INHIBITOR THERAPY; THE-SCOPE-CLIP; PEPTIC-ULCER; RANDOMIZED-TRIAL; ANTITHROMBOTIC AGENTS; ELECTIVE ENDOSCOPY; EUROPEAN-SOCIETY; HEMORRHAGE; SURGERY;

D O I：

10.1016/j.bpg.2019.04.001

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Endoscopic therapy is the mainstay of treatment for nonvariceal upper gastrointestinal bleeding (NVUGIB). Injection plus mechanical or thermal therapy continues to be the most widely used option. New endoscopic devices such as the use of an inert powder or a new class of over-the-scope clip system have demonstrated encouraging results as a rescue therapy for difficult hemostasis. Emerging data suggest that Doppler ultrasound-guided endoscopic therapy may improve the outcome of peptic ulcer bleeding. This review sumarizes the recent advances in the management of NVUGIB. With increasing use of anti-platelet agents and anti-coagulants, the management of NVUGIB in patients on anti-thrombotic therapy is also discussed. (C) 2019 Published by Elsevier Ltd.

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页数：6

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