Nonvariceal upper gastrointestinal bleeding

被引:0
作者
Stephen J. Burke
Jafar Golzarian
Derik Weldon
Shiliang Sun
机构
[1] University of Iowa,Department of Radiology
[2] University of Iowa,Department of Radiology, Carver College of Medicine
来源
European Radiology | 2007年 / 17卷
关键词
Upper gastrointestinal bleeding; Ulcer; Endoscopy; Embolization; Angiography;
D O I
暂无
中图分类号
学科分类号
摘要
Nonvariceal upper gastrointestinal bleeding (NUGB) remains a major medical problem even after advances in medical therapy with gastric acid suppression and cyclooxygenase (COX-2) inhibitors. Although the incidence of upper gastrointestinal bleeding presenting to the emergency room has slightly decreased, similar decreases in overall mortality and rebleeding rate have not been experienced over the last few decades. Many causes of upper gastrointestinal bleeding have been identified and will be reviewed. Endoscopic, radiographic and angiographic modalities continue to form the basis of the diagnosis of upper gastrointestinal bleeding with new research in the field of CT angiography to diagnose gastrointestinal bleeding. Endoscopic and angiographic treatment modalities will be highlighted, emphasizing a multi-modality treatment plan for upper gastrointestinal bleeding.
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页码:1714 / 1726
页数:12
相关论文
共 147 条
[41]  
Dann RW(2003)Detection of active colonic hemorrhage with use of helical CT: findings in a swine model Radiology 228 743-752
[42]  
Baum S(1965)Demonstration of intra-abdominal bleeding by selective arteriography JAMA 191 117-118
[43]  
Biery DN(2004)Microcatheter embolization of lower gastrointestinal hemorrhage: an old idea whose time has come Cardiovasc Interv Radiol 27 591-599
[44]  
Alavi A(2005)Treatment of nonvariceal upper gastrointestinal bleeding Am J Health Syst Pharm 62 1159-1170
[45]  
Pavel DG(1989)Effects of fibrinolytic inhibitors on mortality from upper gastrointestinal haemorrhage BMJ 298 1142-1146
[46]  
Zimmer M(1997)Randomized comparison between adrenaline injection alone and adrenaline injection plus heat probe treatment for actively bleeding ulcers BMJ 314 1307-1311
[47]  
Patterson VN(2003)Nonvariceal upper gastrointestinal bleeding Gastroenterol Clin N Am 32 1035-1052
[48]  
McKusick KA(1996)Risk assessment after acute upper gastrointestinal haemorrhage Gut 38 316-321
[49]  
Froelick J(2000)A risk score to predict need for upper-gastrointestinal haemorrhage Lancet 356 1318-1321
[50]  
Gupta S(1974)Endoscopy in gastrointestinal bleeding Lancet 2 394-397