| Theme | Indications and Standards of Practice for Emergency Endoscopy | |
|---|---|---|
| Title | Indications and Practice of Emergency Endoscopy for Non-variceal Upper Gastrointestinal Bleeding | |
| Publish Date | 2018/05 | |
| Author | Shunji Shimaoka | Department of Gastroenterology, Nanpuh Hospital |
| Author | Junichiro Furukawa | Department of Gastroenterology, Nanpuh Hospital |
| Author | Saori Iifuku | Department of Gastroenterology, Nanpuh Hospital |
| Author | Yukiko Baba | Department of Gastroenterology, Nanpuh Hospital |
| Author | Hirotake Kusumoto | Department of Gastroenterology, Nanpuh Hospital |
| Author | Masatoshi Kaida | Department of Gastroenterology, Nanpuh Hospital |
| [ Summary ] | Guidelines have been established outlining the indications and the practice of emergency endoscopy for the management of non-variceal upper gastrointestinal (GI) bleeding. It is important to accurately evaluate a patient's condition (whether critically ill/serious) and stabilize the patient's vital signs with intensive care prior to the procedure to ensure that successful endoscopic hemostasis can be achieved. Endoscopic hemostasis (which could be achieved through a variety of methods), is considered the first-line treatment for bleeding from nearly all causes. Interventional radiology (IVR) techniques and/or surgery are required in patients with peptic gastroduodenal ulcer bleeding in whom endoscopic hemostasis fails. Studies have reported a favorable success rate of initial endoscopic hemostasis for non-variceal upper GI bleeding, and the use of antisecretory agents effectively prevents rebleeding after endoscopic hemostasis. However multiple treatment sessions may occasionally be required in a few patients who present with bleeding from vascular abnormalities with comorbidities. | |