上消化道出血多学科诊治新亮点

Chinese Journal of Practical Surgery ›› 2010, Vol. 30 ›› Issue (06) : 413-415.

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PDF(407 KB)
Chinese Journal of Practical Surgery ›› 2010, Vol. 30 ›› Issue (06) : 413-415.
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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

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