Importance of risk assessment,endoscopic hemostasis,and recent advancements in the management of acute non-variceal upper gastrointestinal bleeding  

作　　者：Rick Maity Arkadeep Dhali Jyotirmoy Biswas 

机构地区：[1]General Medicine,Institute of Post Graduate Medical Education and Research,Kolkata 700020,India [2]Department of Gastroenterology,Sheffield Teaching Hospitals NHS Foundation Trust,Northern General Hospital,Sheffield S57AU,United Kingdom [3]School of Medicine and Population Health,University of Sheffield,Sheffield S102HQ,United Kingdom [4]General Medicine,College of Medicine and Sagore Dutta Hospital,Kolkata 700058,India

出　　处：《World Journal of Clinical Cases》2024年第24期5462-5467,共6页世界临床病例杂志

摘　　要：Acute non-variceal upper gastrointestinal bleeding(ANVUGIB)is a common medical emergency in clinical practice.While the incidence has significantly reduced,the mortality rates have not undergone a similar reduction in the last few decades,thus presenting a significant challenge.This editorial outlines the key causes and risk factors of ANVUGIB and explores the current standards and recent updates in risk assessment scoring systems for predicting mortality and endoscopic treatments for achieving hemostasis.Since ANUVGIB predominantly affects the elderly population,the impact of comorbidities may be responsible for the poor outcomes.A thorough drug history is important due to the increasing use of antiplatelet agents and anticoagulants in the elderly.Early risk stratification plays a crucial role in deciding the line of management and predicting mortality.Emerging scoring systems such as the ABC(age,blood tests,co-morbidities)score show promise in predicting mortality and guiding clinical decisions.While conventional endoscopic therapies remain cornerstone approaches,novel techniques like hemostatic powders and over-the-scope clips offer promising alternatives,particularly in cases refractory to traditional modalities.By integrating validated scoring systems and leveraging novel therapeutic modalities,clinicians can enhance patient care and mitigate the substantial morbidity and mortality associated with ANVUGIB.

关 键 词：Non-variceal upper gastrointestinal bleeding Upper gastrointestinal bleeding Gastrointestinal bleeding Risk stratification Risk assessment scores PROGNOSTICATION ENDOSCOPY ESOPHAGOGASTRODUODENOSCOPY Endoscopic hemostasis 

分 类 号：R735[医药卫生—肿瘤]