Endoskopie 2012; 21(1): 24-27

Acute endoscopy and nonvariceal upper gastrointestinal blleding

doc.MUDr.Vlastimil Procházka, Ph.D.

II. interní klinika gastro-enterologická a hepatologická LF UP a FN Olomouc

The review article summarizes current knowledge on the issue of endoscopy and nonvariceal upper gastrointestinal bleeding. Studies

published in recent years provide information for optimal use of endoscopy in the context of comprehensive care. Based on the evidence,

it is recommended to implement immediate endoscopy within 24 hours from the admission; immediately after achieving hemodynamic

stability and administration of the proton pump inhibitors. To stop bleeding ulcer or visible vessel treatment, it is proposed to use clips

or thermocoagulation, in monotherapy or in combination with vasoactive substances injection. The injection of vasoactive substances

alone should not be used. When the lesion is not easily accessible, conservative medical treatment without therapeutic endoscopy is acceptable

for ulcer with adhering clot without active bleeding. After successful endoscopic treatment, it is recommended to continue treatment

with the proton pump inhibitors, particularly in high-risk lesions, with high doses administered intravenously for at least 72 hours.

Keywords: upper gastrointestinal bleeding, diagnostic endoscopy, therapeutic endoscopy, proton pump inhibitors

Published: December 1, 2012  Show citation