Upper Gastrointestinal Bleeding Management, An Issue of Gastrointestinal Endoscopy Clinics, E-Book

Przednia okładka
Elsevier Health Sciences, 24 lip 2015 - 225
Upper gastrointestinal bleeding is the leading emergency leading to hospitalization and urgent endoscopy. The field of gastrointestinal bleeding is rapidly evolving. The epidemiology is changing with more complex older patients on anticoagulant and antithrombotic agents presenting with upper gastrointestinal bleeding. The initial management has rapidly evolved with new transfusion thresholds, the use of risk stratification scores and no more nasogastric tubes. There is new data and recommendations on optimal timing of endoscopy. Medical therapies have also evolved with changes in proton pump inhibitor administration and the use of prokinetics to improve endoscopic visualization. Many modifications in endoscopic therapy have recently been advanced including the use of endoscopic ultrasound guided angiotherapy, topical sprays (i.e. Hemospray) and over-the-scope clips. In order to give optimal care to patients, it is critical that practicing gastroenterologists are aware of the many recent advances in management of patients with upper gastrointestinal bleeding.
 

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Spis treści

Gastrointestinal Endoscopy Clinics Of North America
xi
Foreword
xiii
Preface
xv
Epidemiology and Risk Factors for Upper Gastrointestinal Bleeding
415
Initial Assessment and Resuscitation in Nonvariceal Upper Gastrointestinal Bleeding
429
Nonvariceal Upper Gastrointestinal Bleeding
443
Management of Antiplatelet Agents and Anticoagulants in Patients with Gastrointestinal Bleeding
449
Role of Medical Therapy for Nonvariceal Upper Gastrointestinal Bleeding
463
Endoscopic Diagnosis and Therapy in Gastroesophageal Variceal Bleeding
491
Injection and Cautery Methods for Nonvariceal Bleeding Control
509
Mechanical Hemostasis Techniques in Nonvariceal Upper Gastrointestinal Bleeding
523
Hemostatic Powders in Gastrointestinal Bleeding
535
New Technologies and Approaches to Endoscopic Control of Gastrointestinal Bleeding
553
Management of Patients with Rebleeding
569
Unusual Causes of Upper Gastrointestinal Bleeding
583
Tips and Tricks on How to Optimally Manage Patients with Upper Gastrointestinal Bleeding
607

The Role of Medical Therapy for Variceal Bleeding
479

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