Management of acute upper gastrointestinal bleeding: An update for the general physician

Research output: Contribution to journalReview articlepeer-review

Authors

  • N. Bhala

Colleges, School and Institutes

External organisations

  • University Hospitals Birmingham NHS Trust
  • Birmingham Heartlands Hospital, Birmingham, UK.

Abstract

Acute upper gastrointestinal bleed (AUGIB) is one of the most common medical emergencies in the UK, with roughly one presentation every 6 min. Despite advances in therapeutics and endoscopy provision, mortality following AUGIB over the last two decades has remained high, with over 9,000 deaths annually in the UK; consequently, several national bodies have published UK-relevant guidelines. Despite this, the 2015 UK National Confidential Enquiry into Patient Outcome and Death in AUGIB highlighted variations in practice, raised concerns regarding suboptimal patient care and released a series of recommendations. This review paper incorporates the latest available evidence and UK-relevant guidelines to summarise the optimal pre-endoscopic, endoscopic, and post-endoscopic approach to and management of non-variceal and variceal AUGIB that will be of practical value to both general physicians and gastroenterologists.

Details

Original languageEnglish
Pages (from-to)218-230
Number of pages13
JournalJournal of the Royal College of Physicians of Edinburgh
Volume47
Issue number3
Publication statusPublished - Sep 2017

Keywords

  • Gastrointestinal bleed, Haemorrhage, Non-variceal, Upper gastrointestinal bleeding, Variceal

ASJC Scopus subject areas