Management of gastrointestinal bleed in the intensive care setting,an updated literature review  

作　　者：Vignesh K Nagesh Sai Priyanka Pulipaka Ruchi Bhuju Emelyn Martinez Shruthi Badam Gomathy Aarthy Nageswaran Hadrian Hoang-Vu Tran Daniel Elias Charlene Mansour Jaber Musalli Sanket Bhattarai Lokeash Subramani Shobana Tannishtha Sethi Ritvik Sethi Namrata Nikum Chinmay Trivedi Amer Jarri Colin Westman Nazir Ahmed Shawn Philip Simcha Weissman Jonathan Weinberger Ayrton I Bangolo 

机构地区：[1]Department of Internal Medicine,Palisades Medical Center,North Bergen,NJ 07047,United States [2]Department of Internal Medicine,University of Arkansas for Medical Sciences,Little Rock,AR 72205,United States [3]Department of Internal Medicine,Hackensack Palisades Medical Center,North Bergen,NJ 07047,United States [4]Department of Gastroenterology,Hackensack University Medical Center,Hackensack,NJ 07061,United States [5]Department of Pulmonology and Critical Care,HCA Florida Bayonet Point Hospital,Hudson,FL 34667,United States [6]Department of Hematology&Oncology,John Theurer Cancer Center at Hackensack University Medical Center,Hackensack,NJ 07601,United States

出　　处：《World Journal of Critical Care Medicine》2025年第1期20-41,共22页世界重症医学杂志（英文）

摘　　要：Gastrointestinal(GI)bleeding is a critical and potentially life-threatening condition frequently observed in the intensive care unit(ICU).This literature review consolidates current insights on the epidemiology,etiology,management,and outcomes of GI bleeding in critically ill patients.GI bleeding remains a significant concern,especially among patients with underlying risk factors such as coagulopathy,mechanical ventilation,and renal failure.Managing GI bleeding in the ICU requires a multidisciplinary approach,including resuscitation,endoscopic intervention,pharmacologic therapy,and sometimes surgical procedures.Even with enhanced management strategies,GI bleeding in the ICU is associated with considerable morbidity and mortality,particularly when complicated by multi-organ failure.This review reiterates the need for adequate resuscitation and interventions in managing GI bleeding in critically ill patients,aiming to enhance survival rates and improve the quality of care within the ICU setting.

关 键 词：Gastrointestinal bleed VARICES Variceal bleeding Diverticular bleed ANGIODYSPLASIA ULCER HEMORRHOIDS Endoscopy ENTEROSCOPY EMBOLIZATION 

分 类 号：R473[医药卫生—护理学]