Guidelines for endoscopic management of non-variceal upper gastrointestinal bleeding

被引:86
作者
Fujishiro, Mitsuhiro [1 ]
Iguchi, Mikitaka [1 ]
Kakushima, Naomi [1 ]
Kato, Motohiko [1 ]
Sakata, Yasuhisa [1 ]
Hoteya, Shu [1 ]
Kataoka, Mikinori [1 ]
Shimaoka, Shunji [1 ]
Yahagi, Naohisa [1 ]
Fujimoto, Kazuma [1 ]
机构
[1] Japan Gastroenterol Endoscopy Soc, Tokyo, Japan
关键词
bleeding peptic ulcer; endoscopic hemostasis; endoscopic examination; gastroduodenal ulcer bleeding; upper gastrointestinal bleeding; PROTON-PUMP INHIBITOR; ARGON PLASMA COAGULATION; ANTRAL VASCULAR ECTASIA; PEPTIC-ULCER DISEASE; HELICOBACTER-PYLORI INFECTION; PROSPECTIVE RANDOMIZED-TRIAL; GLASGOW-BLATCHFORD SCORE; MALLORY-WEISS-SYNDROME; TRANSCATHETER ARTERIAL EMBOLIZATION; SUBMUCOSAL DISSECTION ESD;
D O I
10.1111/den.12639
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Japan Gastroenterological Endoscopy Society (JGES) has compiled a set of guidelines for endoscopicmanagement of non-variceal upper gastrointestinal bleeding using evidence-based methods. The major cause of non-variceal upper gastrointestinal bleeding is peptic gastroduodenal ulcer bleeding. As a result, these guidelines mainly focus on peptic gastroduodenal ulcer bleeding, although bleeding from other causes is also overviewed. From the epidemiological aspect, in recent years in Japan, bleeding from drug-related ulcers has become predominant in comparison with bleeding from Helicobacter pylori (HP)-related ulcers, owing to an increase in the aging population and coverage of HP eradication therapy by national health insurance. As for treatment, endoscopic hemostasis, in which there are a variety of methods, is considered to be the first-line treatment for bleeding from almost all causes. It is very important to precisely evaluate the severity of the patient's condition and stabilize the patient's vital signs with intensive care for successful endoscopic hemostasis. Additionally, use of antisecretory agents is recommended to prevent rebleeding after endoscopic hemostasis, especially for gastroduodenal ulcer bleeding. Eighteen statements with evidence and recommendation levels have been made by the JGES committee of these guidelines according to evidence obtained from clinical research studies. However, some of the statements that are supported by a low level of evidence must be confirmed by further clinical research.
引用
收藏
页码:363 / 378
页数:16
相关论文
共 226 条
[1]   Differentiation between patients with acute upper gastrointestinal bleeding who need early urgent upper gastrointestinal endoscopy and those who do not. A prospective study [J].
Adamopoulos, AB ;
Baibas, NM ;
Efstathiou, SP ;
Tsioulos, DI ;
Mitromaras, AG ;
Tsami, AA ;
Mountokalakis, TD .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2003, 15 (04) :381-387
[2]   Blatchford score is a useful tool for predicting the need for intervention in cancer patients with upper gastrointestinal bleeding [J].
Ahn, Shin ;
Lim, Kyung Soo ;
Lee, Yoon-Seon ;
Lee, Jae-Lyun .
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2013, 28 (08) :1288-1294
[3]   Predictors of a variceal source among patients presenting with upper gastrointestinal bleeding [J].
Alharbi, Ahmad ;
Almadi, Majid ;
Barkun, Alan ;
Martel, Myriam .
CANADIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2012, 26 (04) :187-192
[4]   Which types of non-bleeding visible vessels in gastric peptic ulcers should be treated by endoscopic hemostasis? [J].
Amano, Y ;
Moriyama, N ;
Suetsugu, H ;
Ishimura, N ;
Imaoka, T ;
Komazawa, Y ;
Fujishiro, H ;
Ishihara, S ;
Adachi, K ;
Kinoshita, Y .
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, 2004, 19 (01) :13-17
[5]   Proton-pump inhibitors and outcome of endoscopic Hemostasis in bleeding peptic ulcers: A series of meta-analyses [J].
Andriulli, A ;
Annese, V ;
Caruso, N ;
Pilotto, A ;
Accadia, L ;
Niro, AG ;
Quitadamo, T ;
Merla, A ;
Fiorella, S ;
Leandro, G .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2005, 100 (01) :207-219
[6]   High- Versus Low-Dose Proton Pump Inhibitors After Endoscopic Hemostasis in Patients With Peptic Ulcer Bleeding: A Multicentre, Randomized Study [J].
Andriulli, Angelo ;
Loperfido, Silvano ;
Focareta, Rosaria ;
Leo, Pietro ;
Fornari, Fabio ;
Garripoli, Antonietta ;
Tonti, Paolo ;
Peyre, Sergio ;
Spadaccini, Antonio ;
Marmo, Riccardo ;
Merla, Antonio ;
Caroli, Alessandro ;
Forte, Gian Battista ;
Belmonte, Angelo ;
Aragona, Giovanni ;
Imperiali, Gianni ;
Forte, Fabrizio ;
Monica, Fabio ;
Caruso, Nazario ;
Perri, Francesco .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2008, 103 (12) :3011-3018
[7]  
Aoyama Toru, 2012, Gan To Kagaku Ryoho, V39, P2298
[8]   Evaluation of hemostasis with soft coagulation using endoscopic hemostatic forceps in comparison with metallic hemoclips for bleeding gastric ulcers: a prospective, randomized trial [J].
Arima, Seiichiro ;
Sakata, Yasuhisa ;
Ogata, Shinichi ;
Tominaga, Naoyuki ;
Tsuruoka, Nanae ;
Mannen, Kotaro ;
Shiraishi, Ryosuke ;
Shimoda, Ryo ;
Tsunada, Seiji ;
Sakata, Hiroyuki ;
Iwakiri, Ryuichi ;
Fujimoto, Kazuma .
JOURNAL OF GASTROENTEROLOGY, 2010, 45 (05) :501-505
[9]  
Asagi S, 2002, GERIATR GASTROENTERO, V14, P159
[10]  
Asagi S, 2003, DIGESTIVA ENDOSCOPIA, V15, P236