Injection and Cautery Methods for Nonvariceal Bleeding Control

Cristina Bucci; Gianluca Rotondano; Riccardo Marmo

doi:10.1016/j.giec.2015.03.005

Injection and Cautery Methods for Nonvariceal Bleeding Control

Gastrointest Endosc Clin N Am. 2015 Jul;25(3):509-22. doi: 10.1016/j.giec.2015.03.005.

Authors

Cristina Bucci¹, Gianluca Rotondano², Riccardo Marmo³

Affiliations

¹ Gastroenterology Unit, University of Salerno, Via Allende, 84081, Baronissi-Salerno, Italy.
² Division of Gastroenterology, Maresca Hospital, Via Montedoro, 80059, Torre del Greco, NA, Italy.
³ Endoscopy Unit, Division of Gastroenterology, L.Curto Hospital, Via Luigi Curto, 84035, Polla- Salerno, Italy. Electronic address: ricmarmo1@virgilio.it.

PMID: 26142035
DOI: 10.1016/j.giec.2015.03.005

Abstract

Upper gastrointestinal bleeding remains one of the most common challenges faced by gastroenterologists and endoscopists in daily clinical practice. Endoscopic management of nonvariceal bleeding has been shown to improve clinical outcomes, with significant reduction of recurrent bleeding, need for surgery, and mortality. Early upper gastrointestinal endoscopy is recommended in all patients presenting with upper gastrointestinal bleeding within 24 hours of presentation, although appropriate resuscitation, stabilization of hemodynamic parameters, and optimization of comorbidity before endoscopy are essential.

Keywords: Endoscopic methods; Hemostasis; Injection therapy; Nonvariceal gastrointestinal bleeding; Thermal coagulation.

Publication types

Review

MeSH terms

Cautery / methods*
Endoscopy, Gastrointestinal / methods*
Gastrointestinal Hemorrhage / surgery*
Hemostasis, Endoscopic / methods*
Humans
Injections
Treatment Outcome