Endoscopic management of nonvariceal upper gastrointestinal bleeding

Publication date: Available online 17 April 2019Source: Best Practice & Research Clinical GastroenterologyAuthor(s): Pablo Cañamares, Francis K.L. ChanAbstractEndoscopic therapy is the mainstay of treatment for nonvariceal upper gastrointestinal bleeding (NVUGIB). Injection plus mechanical or thermal therapy continues to be the most widely used option. New endoscopic devices such as the use of an inert powder or a new class of over-the-scope clip system have demonstrated encouraging results as a rescue therapy for difficult hemostasis. Emerging data suggest that Doppler ultrasound- guided endoscopic therapy may improve the outcome of peptic ulcer bleeding. This review sumarizes the recent advances in the management of NVUGIB. With increasing use of anti-platelet agents and anti-coagulants, the management of NVUGIB in patients on anti-thrombotic therapy is also discussed.
Source: Best Practice and Research Clinical Gastroenterology - Category: Gastroenterology Source Type: research