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.
Original language | English |
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Pages (from-to) | 218-230 |
Number of pages | 13 |
Journal | Journal of the Royal College of Physicians of Edinburgh |
Volume | 47 |
Issue number | 3 |
DOIs | |
Publication status | Published - Sept 2017 |
Keywords
- Gastrointestinal bleed
- Haemorrhage
- Non-variceal
- Upper gastrointestinal bleeding
- Variceal
ASJC Scopus subject areas
- Education