Paper Details

  1. Home
  2. Paper Details

Management of acute upper gastrointestinal bleeding.

Author: LaineLoren, StanleyAdrian J

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Overview

Upper gastrointestinal bleeding (UGIB) is a serious condition with a mortality rate of 2-10%. Most patients need immediate treatment in the hospital, including fluids and blood transfusions. Medications to reduce stomach acid and speed up digestion may be given, and antibiotics and medications to support blood pressure may be needed for people with liver disease. Endoscopy should be performed within 24 hours, sooner for high-risk patients. Treatment during endoscopy includes stopping bleeding with injections, heat, or clips. People who have bleeding ulcers should continue taking medications to reduce stomach acid after endoscopy. Recurring bleeding is treated with repeat procedures or surgery. For bleeding from varicose veins in the esophagus or stomach, a procedure called a transjugular intrahepatic portosystemic shunt (TIPS) is often used. Blood thinners can be restarted early after treatment for better outcomes.
Paper Details　
Original Abstract of the Article :
Upper gastrointestinal bleeding (UGIB) is a common medical emergency, with a reported mortality of 2-10%. Patients identified as being at very low risk of either needing an intervention or death can be managed as outpatients. For all other patients, intravenous fluids as needed for resuscitation and...See full text at original site
Dr.Camel IconDr.Camel's Paper Summary Blogラクダ博士について

ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。

* ラクダ博士による解説は、あくまで論文の要点をまとめたものであり、原論文の完全な代替となるものではありません。詳細な内容については、必ず原論文をご参照ください。
* ラクダ博士は架空のキャラクターであり、実際の医学研究者や医療従事者とは一切関係がありません。
* 解説の内容は Health Journal が独自に解釈・作成したものであり、原論文の著者または出版社の見解を反映するものではありません。


引用元：
https://doi.org/10.1136/bmj.l536

データ提供：米国国立医学図書館（NLM）

Stopping the Bleeding: A Multifaceted Approach to Upper Gastrointestinal Bleeding

Upper gastrointestinal bleeding (UGIB) is a serious medical emergency, often requiring prompt and decisive action. This research provides a comprehensive overview of the management of UGIB, outlining a multi-faceted approach to address this complex condition. Imagine UGIB as a sudden desert sandstorm, requiring quick and strategic interventions to stabilize the situation. The researchers investigated [research methods] to determine the most effective treatment strategies for UGIB. They found that [main findings] and provided detailed recommendations for managing this challenging condition.

From Resuscitation to Endoscopy: A Collaborative Effort

The study emphasizes the importance of a collaborative approach to managing UGIB, like a desert caravan relying on the expertise of each member to navigate treacherous terrain. From initial resuscitation to endoscopic treatment and post-endoscopic management, each step requires careful consideration and coordination. This comprehensive approach is essential for minimizing the risk of complications and improving patient outcomes.

Navigating the Sands of Gastrointestinal Health

This research underscores the complexity of managing upper gastrointestinal bleeding. Just as a desert landscape can be unpredictable and challenging, the gastrointestinal tract is a dynamic and intricate system. By understanding the various factors involved in UGIB, healthcare providers can better navigate this complex terrain and provide optimal care for their patients.

Dr. Camel's Conclusion

This study offers a detailed roadmap for managing upper gastrointestinal bleeding. Like a skilled desert navigator, healthcare professionals must be prepared to address this challenging condition with a multi-faceted approach, incorporating a range of interventions and monitoring patient progress closely. This research serves as a valuable guide for navigating the intricate landscape of gastrointestinal health and providing effective care for patients experiencing UGIB.

Date :
  1. Date Completed 2019-04-16
  2. Date Revised 2019-04-16
Further Info :

Pubmed ID

30910853

DOI: Digital Object Identifier

10.1136/bmj.l536

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

This site uses cookies. Visit our privacy policy page or click the link in any footer for more information and to change your preferences.