Endoscopic Management of Nonvariceal Upper Gastrointestinal Bleeding

Jung, Jin Tae

doi:2016.16.4.194

Korean J Helicobacter Up Gastrointest Res > Volume 16(4); 2016 > Article

Review

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2016;16(4):194-197.
DOI: https://doi.org/10.7704/kjhugr.2016.16.4.194 Published online December 10, 2016.

Endoscopic Management of Nonvariceal Upper Gastrointestinal Bleeding

Jin Tae Jung

Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea. jungjt@cu.ac.kr

비정맥류 상부위장관 출혈의 내시경 치료

정진태

대구가톨릭대학교 의과대학 내과학교실

Received: 5 November 2016 • Accepted: 29 November 2016

Abstract

Acute nonvariceal upper gastrointestinal bleeding is a common medical emergency with associated morbidity and mortality. Patients with significant bleeding should be started on proton pump inhibitor infusion. Upper endoscopy after adequate resuscitation is required for most patients and should be performed within 24 hours of presentation. Endoscopic hemostasis is less invasive and is the preferred method for the treatment of upper gastrointestinal bleeding in most circumstances. Different methods of endoscopic interventions include injection therapy, thermal coagulation, or mechanical therapy. Endoscopic management of nonvariceal upper gastrointestinal bleeding has been shown to improve clinical outcomes, with significant reduction of recurrent bleeding, need of surgery, and mortality. Recently, newly developed endoscopic apparatuses have been used for hemostasis with greater safety and efficiency.

Key Words: Gastrointestinal hemorrhage; Peptic ulce; Endoscopic hemostasis