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Postgrad Med J 2005;81:92-98 doi:10.1136/pgmj.2004.020867
  • Review

Acute endoscopic intervention in non-variceal upper gastrointestinal bleeding

  1. R P Arasaradnam,
  2. M T Donnelly
  1. Correspondence to:
 Dr R P Arasaradnam
 Department of Gastroenterology, Northern General Hospital, Sheffield Teaching Hospitals, Sheffield S5 7AU, UK; ramesh.arasaradnamsth.nhs.uk
  • Received 19 February 2004
  • Accepted 1 June 2004

Abstract

Upper gastrointestinal bleeding is one of the commonest emergencies encountered by general physicians. Once haemodynamic stability has been achieved, therapeutic endoscopy is vital in control and arrest of bleeding. Various methods are available and the evidence is reviewed as to the most optimal approach. Clinical parameters including timing of endoscopy, risk stratification, and predictors of failure will also be discussed together with a summary of recommendations based on current available evidence.

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