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Management of Acute Upper Gastrointestinal Bleeding: An Update for the General Physician

2017; SAGE Publishing; Volume: 47; Issue: 3 Linguagem: Inglês

10.4997/jrcpe.2017.303

2042-8189

Keith Siau, Warren Chapman, Naveen Sharma, Dhiraj Tripathi, Tariq Iqbal, Neeraj Bhala,

Gastrointestinal disorders and treatments

Acute upper gastrointestinal bleed (AUGIB) is one of the most common medical emergencies in the UK, with roughly one presentation every 6 min. Despite advances in therapeutics and endoscopy provision, mortality following AUGIB over the last two decades has remained high, with over 9,000 deaths annually in the UK; consequently, several national bodies have published UK-relevant guidelines. Despite this, the 2015 UK National Confidential Enquiry into Patient Outcome and Death in AUGIB highlighted variations in practice, raised concerns regarding suboptimal patient care and released a series of recommendations. This review paper incorporates the latest available evidence and UK-relevant guidelines to summarise the optimal pre-endoscopic, endoscopic, and post-endoscopic approach to and management of non-variceal and variceal AUGIB that will be of practical value to both general physicians and gastroenterologists.