| Theme |
Emergency Endoscopy |
| Title |
Emergency Endoscopy for Gastroduodenal Ulcer, AGML and Mallory Weiss Syndrome |
| Author |
Kazuya Akahoshi |
Department of Gastroenterology, Aso Iizuka Hospital |
| Author |
Masaru Kubokawa |
Department of Gastroenterology, Aso Iizuka Hospital |
| Author |
Masahiro Matsumoto |
Department of Gastroenterology, Aso Iizuka Hospital |
| Author |
Mitsuhide Kimura |
Department of Gastroenterology, Aso Iizuka Hospital |
| Author |
Atsuhiko Murata |
Department of Gastroenterology, Aso Iizuka Hospital |
| Author |
Shingo Endo |
Department of Gastroenterology, Aso Iizuka Hospital |
| Author |
Yorinobu Sumida |
Department of Gastroenterology, Aso Iizuka Hospital |
| Author |
Kenichi Ito |
Department of Gastroenterology, Aso Iizuka Hospital |
| Author |
Hiroyuki Murao |
Department of Gastroenterology, Aso Iizuka Hospital |
| [ Summary ] |
Endoscopic hemostasis is the first choice of hemostatic method for upper GI bleeding. Emergency endoscopy for diagnosis and treatment of bleeding lesions, after fully administrating a patient's general condition and obtaining informed consent, is vital for clinical management of this condition. The use of endoscopic hemostatic techniques is generally reserved for patients with active bleeding lesions and visible vessels. Presently, endoscopic therapy has an initial success rate of about 90 % of cases. Emergency interventional radiology and surgery should be perfomed if endoscopic procedures fail or rebleeding occurs. Management of upper GI bleeding requires the expertise of multiple medical subspecialists including endoscopists, intensivists, radiologists and surgeons. |