Acute gastrointestinal bleeding – a new approach to clinical and endoscopic management
Overt or occult gastrointestinal bleeding is a frequently observed condition in routine gastroenterological practice. Occult gastrointestinal bleeding is usually a purely incidental finding, based on the discovery of iron deficiency anemia in the laboratory or blood in stool (a positive Hemoccult te...
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| Veröffentlicht in: | European journal of gastroenterology & hepatology 2015-05, Vol.27 (5), p.483-491 |
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| container_end_page | 491 |
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| container_title | European journal of gastroenterology & hepatology |
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| creator | Rey, Johannes W. Fischbach, Andreas Teubner, Daniel Dieroff, Marc Heuberger, Dominik Nguyen-Tat, Marc Manner, Hendrik Kiesslich, Ralf Hoffman, Arthur |
| description | Overt or occult gastrointestinal bleeding is a frequently observed condition in routine gastroenterological practice. Occult gastrointestinal bleeding is usually a purely incidental finding, based on the discovery of iron deficiency anemia in the laboratory or blood in stool (a positive Hemoccult test). However, overt bleeding accompanied by the clinical features of tarry stool, hematemesis, or hematochezia may be a life-threatening condition, calling for immediate emergency management. In contrast to traumatology, algorithms of emergency and intensive medicine are not sufficiently validated yet for acute life-threatening bleeding. The purpose of this review was to present all established and new endoscopic hemostasis techniques and to evaluate their efficacy, as well as to provide the treating endoscopist with practical advice on how he/she could incorporate these procedures into acute medical management. The recommendations are based on inspection of the study results in the recent published literature, as well as emergency medicine algorithms in traumatology. |
| doi_str_mv | 10.1097/MEG.0000000000000343 |
| format | Article |
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Occult gastrointestinal bleeding is usually a purely incidental finding, based on the discovery of iron deficiency anemia in the laboratory or blood in stool (a positive Hemoccult test). However, overt bleeding accompanied by the clinical features of tarry stool, hematemesis, or hematochezia may be a life-threatening condition, calling for immediate emergency management. In contrast to traumatology, algorithms of emergency and intensive medicine are not sufficiently validated yet for acute life-threatening bleeding. The purpose of this review was to present all established and new endoscopic hemostasis techniques and to evaluate their efficacy, as well as to provide the treating endoscopist with practical advice on how he/she could incorporate these procedures into acute medical management. The recommendations are based on inspection of the study results in the recent published literature, as well as emergency medicine algorithms in traumatology.</description><identifier>ISSN: 0954-691X</identifier><identifier>EISSN: 1473-5687</identifier><identifier>DOI: 10.1097/MEG.0000000000000343</identifier><identifier>PMID: 25822855</identifier><language>eng</language><publisher>England: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Acute Disease ; Argon Plasma Coagulation ; Epinephrine - therapeutic use ; Gastrointestinal Hemorrhage - epidemiology ; Gastrointestinal Hemorrhage - etiology ; Gastrointestinal Hemorrhage - therapy ; Hemostasis, Endoscopic - instrumentation ; Hemostasis, Endoscopic - methods ; Hemostatics - therapeutic use ; Humans ; Ligation ; Minerals - therapeutic use ; Risk Assessment ; Vasoconstrictor Agents - therapeutic use</subject><ispartof>European journal of gastroenterology & hepatology, 2015-05, Vol.27 (5), p.483-491</ispartof><rights>Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3521-9555caad7e37240b931dbb33ef4c859260b174dedd93b06a1b2904e2fcff95b13</citedby><cites>FETCH-LOGICAL-c3521-9555caad7e37240b931dbb33ef4c859260b174dedd93b06a1b2904e2fcff95b13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25822855$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rey, Johannes W.</creatorcontrib><creatorcontrib>Fischbach, Andreas</creatorcontrib><creatorcontrib>Teubner, Daniel</creatorcontrib><creatorcontrib>Dieroff, Marc</creatorcontrib><creatorcontrib>Heuberger, Dominik</creatorcontrib><creatorcontrib>Nguyen-Tat, Marc</creatorcontrib><creatorcontrib>Manner, Hendrik</creatorcontrib><creatorcontrib>Kiesslich, Ralf</creatorcontrib><creatorcontrib>Hoffman, Arthur</creatorcontrib><title>Acute gastrointestinal bleeding – a new approach to clinical and endoscopic management</title><title>European journal of gastroenterology & hepatology</title><addtitle>Eur J Gastroenterol Hepatol</addtitle><description>Overt or occult gastrointestinal bleeding is a frequently observed condition in routine gastroenterological practice. Occult gastrointestinal bleeding is usually a purely incidental finding, based on the discovery of iron deficiency anemia in the laboratory or blood in stool (a positive Hemoccult test). However, overt bleeding accompanied by the clinical features of tarry stool, hematemesis, or hematochezia may be a life-threatening condition, calling for immediate emergency management. In contrast to traumatology, algorithms of emergency and intensive medicine are not sufficiently validated yet for acute life-threatening bleeding. The purpose of this review was to present all established and new endoscopic hemostasis techniques and to evaluate their efficacy, as well as to provide the treating endoscopist with practical advice on how he/she could incorporate these procedures into acute medical management. The recommendations are based on inspection of the study results in the recent published literature, as well as emergency medicine algorithms in traumatology.</description><subject>Acute Disease</subject><subject>Argon Plasma Coagulation</subject><subject>Epinephrine - therapeutic use</subject><subject>Gastrointestinal Hemorrhage - epidemiology</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Gastrointestinal Hemorrhage - therapy</subject><subject>Hemostasis, Endoscopic - instrumentation</subject><subject>Hemostasis, Endoscopic - methods</subject><subject>Hemostatics - therapeutic use</subject><subject>Humans</subject><subject>Ligation</subject><subject>Minerals - therapeutic use</subject><subject>Risk Assessment</subject><subject>Vasoconstrictor Agents - therapeutic use</subject><issn>0954-691X</issn><issn>1473-5687</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1O3EAQhVsRKAyQG0RRL9mYdPWP271EiAASUTYgzc7qn_KMk3Z7cNsascsduGFOgkdDEkRtSiW99-rpI-QzsHNgRn_9fnV9zt6OkOIDWYDUolBlpQ_Ighkli9LA8ogc5_yTMdAC9EdyxFXFeaXUgiwv_DQiXdk8Dn2bRsxjm2ykLiKGNq3on9_P1NKEW2o3m6G3fk3HnvrYptbPOpsCxRT67PtN62lnk11hh2k8JYeNjRk_ve4T8vDt6v7yprj7cX17eXFXeKE4FEYp5a0NGoXmkjkjIDgnBDbSV8rwkjnQMmAIRjhWWnDcMIm88U1jlANxQs72uXO5x2muX3dt9hijTdhPuYayrLioAHZSuZf6oc95wKbeDG1nh6caWL1jWs9M6_dMZ9uX1w-T6zD8M_2F-D9328cRh_wrTlsc6jXaOK53eZJroQvOQDE1n8UuGcQLTMiClQ</recordid><startdate>201505</startdate><enddate>201505</enddate><creator>Rey, Johannes W.</creator><creator>Fischbach, Andreas</creator><creator>Teubner, Daniel</creator><creator>Dieroff, Marc</creator><creator>Heuberger, Dominik</creator><creator>Nguyen-Tat, Marc</creator><creator>Manner, Hendrik</creator><creator>Kiesslich, Ralf</creator><creator>Hoffman, Arthur</creator><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201505</creationdate><title>Acute gastrointestinal bleeding – a new approach to clinical and endoscopic management</title><author>Rey, Johannes W. ; Fischbach, Andreas ; Teubner, Daniel ; Dieroff, Marc ; Heuberger, Dominik ; Nguyen-Tat, Marc ; Manner, Hendrik ; Kiesslich, Ralf ; Hoffman, Arthur</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3521-9555caad7e37240b931dbb33ef4c859260b174dedd93b06a1b2904e2fcff95b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Acute Disease</topic><topic>Argon Plasma Coagulation</topic><topic>Epinephrine - therapeutic use</topic><topic>Gastrointestinal Hemorrhage - epidemiology</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Gastrointestinal Hemorrhage - therapy</topic><topic>Hemostasis, Endoscopic - instrumentation</topic><topic>Hemostasis, Endoscopic - methods</topic><topic>Hemostatics - therapeutic use</topic><topic>Humans</topic><topic>Ligation</topic><topic>Minerals - therapeutic use</topic><topic>Risk Assessment</topic><topic>Vasoconstrictor Agents - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rey, Johannes W.</creatorcontrib><creatorcontrib>Fischbach, Andreas</creatorcontrib><creatorcontrib>Teubner, Daniel</creatorcontrib><creatorcontrib>Dieroff, Marc</creatorcontrib><creatorcontrib>Heuberger, Dominik</creatorcontrib><creatorcontrib>Nguyen-Tat, Marc</creatorcontrib><creatorcontrib>Manner, Hendrik</creatorcontrib><creatorcontrib>Kiesslich, Ralf</creatorcontrib><creatorcontrib>Hoffman, Arthur</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of gastroenterology & hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rey, Johannes W.</au><au>Fischbach, Andreas</au><au>Teubner, Daniel</au><au>Dieroff, Marc</au><au>Heuberger, Dominik</au><au>Nguyen-Tat, Marc</au><au>Manner, Hendrik</au><au>Kiesslich, Ralf</au><au>Hoffman, Arthur</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute gastrointestinal bleeding – a new approach to clinical and endoscopic management</atitle><jtitle>European journal of gastroenterology & hepatology</jtitle><addtitle>Eur J Gastroenterol Hepatol</addtitle><date>2015-05</date><risdate>2015</risdate><volume>27</volume><issue>5</issue><spage>483</spage><epage>491</epage><pages>483-491</pages><issn>0954-691X</issn><eissn>1473-5687</eissn><abstract>Overt or occult gastrointestinal bleeding is a frequently observed condition in routine gastroenterological practice. 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| identifier | ISSN: 0954-691X |
| ispartof | European journal of gastroenterology & hepatology, 2015-05, Vol.27 (5), p.483-491 |
| issn | 0954-691X 1473-5687 |
| language | eng |
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| source | Journals@Ovid Ovid Autoload; MEDLINE |
| subjects | Acute Disease Argon Plasma Coagulation Epinephrine - therapeutic use Gastrointestinal Hemorrhage - epidemiology Gastrointestinal Hemorrhage - etiology Gastrointestinal Hemorrhage - therapy Hemostasis, Endoscopic - instrumentation Hemostasis, Endoscopic - methods Hemostatics - therapeutic use Humans Ligation Minerals - therapeutic use Risk Assessment Vasoconstrictor Agents - therapeutic use |
| title | Acute gastrointestinal bleeding – a new approach to clinical and endoscopic management |
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