Modern management of acute non-variceal upper gastrointestinal bleeding
Acute, non-varicose bleeding from the upper gastrointestinal tract remains a common clinical problem. Bleeding episodes are associated with high mortality and a significant economic burden on the health care system. Despite the continuing improvement in endoscopic treatment, recurrent bleeding and a...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
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Russian Academy of Sciences, Siberian Branch Publishing House
2021-12-01
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| Series: | Сибирский научный медицинский журнал |
| Subjects: | |
| Online Access: | https://sibmed.elpub.ru/jour/article/view/693 |
| _version_ | 1797269566862131200 |
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| author | V. V. Darvin A. Ya. Ilkanich M. G. Ryzhikov A. V. Oganian A. V. Satinov |
| author_facet | V. V. Darvin A. Ya. Ilkanich M. G. Ryzhikov A. V. Oganian A. V. Satinov |
| author_sort | V. V. Darvin |
| collection | DOAJ |
| description | Acute, non-varicose bleeding from the upper gastrointestinal tract remains a common clinical problem. Bleeding episodes are associated with high mortality and a significant economic burden on the health care system. Despite the continuing improvement in endoscopic treatment, recurrent bleeding and associated mortality are still a pressing issue. In addition to the well-established modalities of endoscopic hemostasis: injection, thermal, mechanical, used both as mono therapy and as part of a combination therapy, the review discusses the use of novel types of endoscopic devices. The results of the use of over-the-scope clips, coagrasper, hemostatic sprays, endoscopic angiography, radiofrequency ablation, cryotherapy and endoscopic suturing device are described. The technical aspects of their application, the issues of efficacy and safety, the advantages and limitations of methods for achieving final endoscopic hemostasis are considered. The methods of initial assessment and treatment strategies for recurrent bleeding and unsuccessful endoscopic hemostasis were also analyzed. Material and methods. Literature search was carried out using the following electronic information resources: CyberLeninka, PubMed, Nature Pathology, MEDLINE, PLoS ONE. Results. Сombined endoscopic hemostasis is a standard therapy in the treatment of gastrointestinal tract cerebral infections with an efficiency of 95-98 %, new modalities of endoscopic hemostasis are able, in some cases, to achieve final endoscopic hemostasis both in primary endoscopic treatment and in recurrent bleeding. |
| first_indexed | 2024-03-08T14:33:33Z |
| format | Article |
| id | doaj.art-ed65ceb6a273446e8b21ff8b472b39fa |
| institution | Directory Open Access Journal |
| issn | 2410-2512 2410-2520 |
| language | Russian |
| last_indexed | 2024-04-25T01:50:25Z |
| publishDate | 2021-12-01 |
| publisher | Russian Academy of Sciences, Siberian Branch Publishing House |
| record_format | Article |
| series | Сибирский научный медицинский журнал |
| spelling | doaj.art-ed65ceb6a273446e8b21ff8b472b39fa2024-03-07T18:49:59ZrusRussian Academy of Sciences, Siberian Branch Publishing HouseСибирский научный медицинский журнал2410-25122410-25202021-12-0141641710.18699/SSMJ20210601389Modern management of acute non-variceal upper gastrointestinal bleedingV. V. Darvin0A. Ya. Ilkanich1M. G. Ryzhikov2A. V. Oganian3A. V. Satinov4Surgut State UniversitySurgut State UniversityNizhnevartovsk Regional Clinical HospitalNizhnevartovsk Regional Clinical HospitalNizhnevartovsk Regional Clinical HospitalAcute, non-varicose bleeding from the upper gastrointestinal tract remains a common clinical problem. Bleeding episodes are associated with high mortality and a significant economic burden on the health care system. Despite the continuing improvement in endoscopic treatment, recurrent bleeding and associated mortality are still a pressing issue. In addition to the well-established modalities of endoscopic hemostasis: injection, thermal, mechanical, used both as mono therapy and as part of a combination therapy, the review discusses the use of novel types of endoscopic devices. The results of the use of over-the-scope clips, coagrasper, hemostatic sprays, endoscopic angiography, radiofrequency ablation, cryotherapy and endoscopic suturing device are described. The technical aspects of their application, the issues of efficacy and safety, the advantages and limitations of methods for achieving final endoscopic hemostasis are considered. The methods of initial assessment and treatment strategies for recurrent bleeding and unsuccessful endoscopic hemostasis were also analyzed. Material and methods. Literature search was carried out using the following electronic information resources: CyberLeninka, PubMed, Nature Pathology, MEDLINE, PLoS ONE. Results. Сombined endoscopic hemostasis is a standard therapy in the treatment of gastrointestinal tract cerebral infections with an efficiency of 95-98 %, new modalities of endoscopic hemostasis are able, in some cases, to achieve final endoscopic hemostasis both in primary endoscopic treatment and in recurrent bleeding.https://sibmed.elpub.ru/jour/article/view/693endoscopic hemostasisnon-variceal upper gastrointestinal bleedingover-the-scope clipscoagrasper forcepshemostatic sprays |
| spellingShingle | V. V. Darvin A. Ya. Ilkanich M. G. Ryzhikov A. V. Oganian A. V. Satinov Modern management of acute non-variceal upper gastrointestinal bleeding Сибирский научный медицинский журнал endoscopic hemostasis non-variceal upper gastrointestinal bleeding over-the-scope clips coagrasper forceps hemostatic sprays |
| title | Modern management of acute non-variceal upper gastrointestinal bleeding |
| title_full | Modern management of acute non-variceal upper gastrointestinal bleeding |
| title_fullStr | Modern management of acute non-variceal upper gastrointestinal bleeding |
| title_full_unstemmed | Modern management of acute non-variceal upper gastrointestinal bleeding |
| title_short | Modern management of acute non-variceal upper gastrointestinal bleeding |
| title_sort | modern management of acute non variceal upper gastrointestinal bleeding |
| topic | endoscopic hemostasis non-variceal upper gastrointestinal bleeding over-the-scope clips coagrasper forceps hemostatic sprays |
| url | https://sibmed.elpub.ru/jour/article/view/693 |
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