Updates on management of nonvariceal upper gastrointestinal bleeding

Curr Opin Gastroenterol. 2019 Nov;35(6):517-523. doi: 10.1097/MOG.0000000000000582.

Abstract

Purpose of review: Upper gastrointestinal bleeding (UGIB) is a common and life-threatening condition in the United States and worldwide.

Recent findings: There have been several exciting recent advances in the endoscopic management of UGIB. One such advance is the recent approval of Hemospray by US Food and Drug Administration in May 2018. Another one is the emerging role of video capsule endoscopy as a triage and localization tool for UGIB patients. Finally, the development of new reversal agents for antithrombotic medications is an important advance in the management of life-threatening upper gastrointestinal bleed.

Summary: In this article, we will broadly review the management of nonvariceal UGIB, focusing primarily on the data addressing these new advances.

Publication types

  • Review

MeSH terms

  • Capsule Endoscopy / methods*
  • Capsule Endoscopy / trends
  • Endoscopy, Gastrointestinal / methods
  • Female
  • Forecasting
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / pathology*
  • Gastrointestinal Hemorrhage / therapy*
  • Hemostasis, Endoscopic / methods*
  • Humans
  • Male
  • Minerals / pharmacology
  • Patient Safety
  • Prognosis
  • Risk Assessment
  • Treatment Outcome
  • United States
  • United States Food and Drug Administration

Substances

  • Minerals
  • hemospray