关键词: 上消化道出血, 非静脉曲张性上消化道出血

Abstract:

Surgical strategies for upper gastrointestinal bleeding  CHEN Lin, CHEN Shao-quan. Department of General Surgery, General Hospital of Chinese PLA, Beijing 100853, China
Corresponding author: CHEN Lin, E-mail：chenlinbj@vip.sina.com
Abstract    Upper gastrointestinal bleeding (UGIB) represents a common and challenging emergency. The causes of UGIB have been classified into variceal bleeding (esophageal and gastric varices) and non-variceal bleeding (peptic ulcer, erosive gastroduodenitis, reflux esophagitis, tumor, etc). Because considerable advances have been made in both endoscopic and pharmacologic therapy, UGIB is normally treated conservatively at present. However, some patients required surgical treatment when it was impossible to achieve hemostasis by pharmacotherapy and endoscopy or if rebleeding occurred where the conservative treatment had failed. According to the causes and sources of UGIB, a surgeon should be informed about the possible need for surgery and make a decision to operate. Surgery is a treatment method of important position in multidisciplinary treatment for UGIB.

Key words: upper gastrointestinal bleeding, nonvariceal upper gastrointestinal bleeding