Endoscopic Management of Bleeding in Altered Anatomy after Upper Gastrointestinal Surgery
Postoperative non variceal upper gastrointestinal haemorrhage may occur early or late and affect a variable percentage of patients—up to about 2%. Most cases of intraluminal bleeding are an indication for urgent Esophagogastroduodenoscopy (EGD) and require endoscopic haemostatic treatment. In additi...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-11-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/11/1941 |
| _version_ | 1797458442146807808 |
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| author | Giulia Gibiino Cecilia Binda Matteo Secco Paolo Giuffrida Chiara Coluccio Barbara Perini Stefano Fabbri Elisa Liverani Carlo Felix Maria Jung Carlo Fabbri |
| author_facet | Giulia Gibiino Cecilia Binda Matteo Secco Paolo Giuffrida Chiara Coluccio Barbara Perini Stefano Fabbri Elisa Liverani Carlo Felix Maria Jung Carlo Fabbri |
| author_sort | Giulia Gibiino |
| collection | DOAJ |
| description | Postoperative non variceal upper gastrointestinal haemorrhage may occur early or late and affect a variable percentage of patients—up to about 2%. Most cases of intraluminal bleeding are an indication for urgent Esophagogastroduodenoscopy (EGD) and require endoscopic haemostatic treatment. In addition to the approach usually adopted in non-variceal upper haemorrhages, these cases may be burdened with difficulties in terms of anastomotic tissue, angled positions, and the risk of further complications. There is also extreme variability related to the type of surgery performed, in the context of oncological disease or bariatric surgery. At the same time, the world of haemostatic devices available in digestive endoscopy is increasing, meeting high efficacy rates and attempting to treat even the most complex cases. Our narrative review summarises the current evidence in terms of different approaches to endoscopic haemostasis in upper bleeding in altered anatomy after surgery, proposing an up-to-date guidance for endoscopic clinicians and at the same time, highlighting areas of future scientific research. |
| first_indexed | 2024-03-09T16:38:11Z |
| format | Article |
| id | doaj.art-66e8b9eb7e0b495293b454017b735fdc |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T16:38:11Z |
| publishDate | 2023-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-66e8b9eb7e0b495293b454017b735fdc2023-11-24T14:54:45ZengMDPI AGMedicina1010-660X1648-91442023-11-015911194110.3390/medicina59111941Endoscopic Management of Bleeding in Altered Anatomy after Upper Gastrointestinal SurgeryGiulia Gibiino0Cecilia Binda1Matteo Secco2Paolo Giuffrida3Chiara Coluccio4Barbara Perini5Stefano Fabbri6Elisa Liverani7Carlo Felix Maria Jung8Carlo Fabbri9Gastroenterology and Digestive Endoscopy Unit Ospedale Morgagni—Pierantoni, Forlì—Ospedale M. Bufalini, Cesena—AUSL, 47521 Romagna, ItalyGastroenterology and Digestive Endoscopy Unit Ospedale Morgagni—Pierantoni, Forlì—Ospedale M. Bufalini, Cesena—AUSL, 47521 Romagna, ItalyGastroenterology and Digestive Endoscopy Unit Ospedale Morgagni—Pierantoni, Forlì—Ospedale M. Bufalini, Cesena—AUSL, 47521 Romagna, ItalyGastroenterology and Digestive Endoscopy Unit Ospedale Morgagni—Pierantoni, Forlì—Ospedale M. Bufalini, Cesena—AUSL, 47521 Romagna, ItalyGastroenterology and Digestive Endoscopy Unit Ospedale Morgagni—Pierantoni, Forlì—Ospedale M. Bufalini, Cesena—AUSL, 47521 Romagna, ItalyGastroenterology and Digestive Endoscopy Unit Ospedale Morgagni—Pierantoni, Forlì—Ospedale M. Bufalini, Cesena—AUSL, 47521 Romagna, ItalyGastroenterology and Digestive Endoscopy Unit Ospedale Morgagni—Pierantoni, Forlì—Ospedale M. Bufalini, Cesena—AUSL, 47521 Romagna, ItalyGastroenterology and Digestive Endoscopy Unit Ospedale Morgagni—Pierantoni, Forlì—Ospedale M. Bufalini, Cesena—AUSL, 47521 Romagna, ItalyGastroenterology and Digestive Endoscopy Unit Ospedale Morgagni—Pierantoni, Forlì—Ospedale M. Bufalini, Cesena—AUSL, 47521 Romagna, ItalyGastroenterology and Digestive Endoscopy Unit Ospedale Morgagni—Pierantoni, Forlì—Ospedale M. Bufalini, Cesena—AUSL, 47521 Romagna, ItalyPostoperative non variceal upper gastrointestinal haemorrhage may occur early or late and affect a variable percentage of patients—up to about 2%. Most cases of intraluminal bleeding are an indication for urgent Esophagogastroduodenoscopy (EGD) and require endoscopic haemostatic treatment. In addition to the approach usually adopted in non-variceal upper haemorrhages, these cases may be burdened with difficulties in terms of anastomotic tissue, angled positions, and the risk of further complications. There is also extreme variability related to the type of surgery performed, in the context of oncological disease or bariatric surgery. At the same time, the world of haemostatic devices available in digestive endoscopy is increasing, meeting high efficacy rates and attempting to treat even the most complex cases. Our narrative review summarises the current evidence in terms of different approaches to endoscopic haemostasis in upper bleeding in altered anatomy after surgery, proposing an up-to-date guidance for endoscopic clinicians and at the same time, highlighting areas of future scientific research.https://www.mdpi.com/1648-9144/59/11/1941non-variceal upper gastrointestinal haemorrhage (NVUGIH)bariatric surgeryaltered anatomyanastomotic bleedingmarginal ulcersendoscopic therapy |
| spellingShingle | Giulia Gibiino Cecilia Binda Matteo Secco Paolo Giuffrida Chiara Coluccio Barbara Perini Stefano Fabbri Elisa Liverani Carlo Felix Maria Jung Carlo Fabbri Endoscopic Management of Bleeding in Altered Anatomy after Upper Gastrointestinal Surgery Medicina non-variceal upper gastrointestinal haemorrhage (NVUGIH) bariatric surgery altered anatomy anastomotic bleeding marginal ulcers endoscopic therapy |
| title | Endoscopic Management of Bleeding in Altered Anatomy after Upper Gastrointestinal Surgery |
| title_full | Endoscopic Management of Bleeding in Altered Anatomy after Upper Gastrointestinal Surgery |
| title_fullStr | Endoscopic Management of Bleeding in Altered Anatomy after Upper Gastrointestinal Surgery |
| title_full_unstemmed | Endoscopic Management of Bleeding in Altered Anatomy after Upper Gastrointestinal Surgery |
| title_short | Endoscopic Management of Bleeding in Altered Anatomy after Upper Gastrointestinal Surgery |
| title_sort | endoscopic management of bleeding in altered anatomy after upper gastrointestinal surgery |
| topic | non-variceal upper gastrointestinal haemorrhage (NVUGIH) bariatric surgery altered anatomy anastomotic bleeding marginal ulcers endoscopic therapy |
| url | https://www.mdpi.com/1648-9144/59/11/1941 |
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