关键词: 上消化道出血, 多学科模式

Abstract:

Highlight of multidisciplinary treatment on upper gastrointestinal bleeding        ZHAN Wen-hua. The First Hospital, Sun Yat-sen University, Guangzhou 510080, China
Abstract    The commonest cause of upper gastrointestinal bleeding（UGIB） is still peptic ulceration. Early intensive resuscitation of those presenting with UGIB can decrease mortality. Right cooperation between different specialists (gastroenterologist, intensive care units doctors, surgeon, anesthetist, radiologist, etc.) requires a multidisciplinary team of and is very important. The use of risk assessment scores eg. Rockall, Blatchford, aids risk stratification in those presenting with UGIB and may help predict prognosis. In group of high risk, treatment with IPP should be continued intravenously through next 72 hours, and subsequently oral administration should be applied.  Endoscopy is the first-line treatment for UGIB. Transcatheter arterial embolization is not only a good alternative to surgery, but should now be considered the salvage treatment of choice after failed endoscopic treatment.

Key words: upper gastrointestinal bleeding, multidisciplinary , treatment