Management of upper gastrointestinal haemorrhage

Upper gastrointestinal (UGI) haemorrhage is a common emergency presentation requiring prompt resuscitation and management. Non-variceal bleeding, from peptic ulcer disease, is the most common aetiology. Bleeding related to varices, in the context of chronic liver disease, is less common but has higher associated mortality. Regardless of aetiology, initial management requires a structured approach with intravenous fluid resuscitation and a restrictive transfusion threshold of 70 –80 g/L. Pre-endoscopic scoring tools enable risk stratification and identification of patients who might benefit from conservative and outpatient management strategies.
Source: Surgery (Medicine Publishing) - Category: Surgery Authors: Tags: Oesophagus and stomach Source Type: research