Management Of Non-variceal Gastrointestinal Bleeding Research Articles

Diagnosis and Management of Non-Variceal Gastrointestinal Hemorrhage: A Review of Current Guidelines and Future Perspectives.

Non-variceal gastrointestinal bleeding (GIB) is a significant cause of mortality and morbidity worldwide which is encountered in the ambulatory and hospital settings. Hemorrhage form the gastrointestinal (GI) tract is categorized as upper GIB, small bowel bleeding (also formerly referred to as obscure GIB) or lower GIB. Although the etiologies of GIB are variable, a strong, consistent risk factor is use of non-steroidal anti-inflammatory drugs. Advances in the endoscopic diagnosis and treatment of GIB have led to improved outcomes. We present an updated review of the current practices regarding the diagnosis and management of non-variceal GIB, and possible future directions.

Clinical guidelines for diagnostic and management of non-variceal gastrointestinal bleeding

Clinical guidelines for diagnostic and management of non-variceal gastrointestinal bleeding

The use of endoscopic clips in nonvariceal gastrointestinal bleeding

Endoscopic control of nonvariceal bleeding has never been completely satisfactory, despite the availability of several methods of injection and coagulation. The hemoclip, with its ability to mechanically occlude the bleeding vessel, provides an effective tool to meet this challenge. Indications for clipping include bleeding due to gastroduodenal ulcers, Mallory-Weiss tears, Dieulafoy's lesions, postpolypectomy and postpapillotomy bleeding. It is most satisfactory in the presence of active spurting bleeders or visible vessels. This article describes the clip applicator and the procedure while highlighting the technical aspects, including a few useful tips in the successful management of nonvariceal gastrointestinal bleeding.