| Theme | Diagnoses & Treatments for Gastrointestinal Bleeding on the Basis of JGES Guidelines | |
|---|---|---|
| Title | Management of Non—variceal, Non—peptic Upper Gastrointestinal Bleeding | |
| Publish Date | 2017/03 | |
| Author | Naomi Kakushima | Division of Endoscopy, Shizuoka Cancer Center |
| Author | Kohei Takizawa | Division of Endoscopy, Shizuoka Cancer Center |
| Author | Masaki Tanaka | Division of Endoscopy, Shizuoka Cancer Center |
| Author | Noboru Kawata | Division of Endoscopy, Shizuoka Cancer Center |
| Author | Masao Yoshida | Division of Endoscopy, Shizuoka Cancer Center |
| Author | Hiroyuki Ono | Division of Endoscopy, Shizuoka Cancer Center |
| [ Summary ] | Mallory‒Weiss syndrome and post‒procedural bleeding are important causes of non‒variceal, non‒peptic ulcer upper gastrointestinal bleeding. Endoclips are effective for hemostasis as well as for closing the mucosal tear in cases of Mallory‒Weiss bleeding. Hemostasis using hemostatic forceps or endoclips are two major methods used to control post‒procedural bleeding. To prevent bleeding from ulcers created after endoscopic submucosal dissection, preventive hemostasis of visible vessels immediately after resection as well as giving the patient an antacid is recommended. For chronic bleeding from gastric antral vascular ectasia, argon plasma coagulation is beneficial to coagulate shallow and broad areas of the bleeding mucosa. Selection of the appropriate method of hemostasis based on the patient's background and pathophysiology is important. | |