作者
Sinclair P for the International Consensus Upper Gastrointestinal Bleeding Conference Group Barkun AN, Bardou M, Kuipers EJ, Sung J, Hunt RH, Martel M
发表日期
2010
期刊
Annals of Internal Medicine
卷号
152
期号
2
页码范围
101-113
出版商
American College of Physicians
简介
Description
A multidisciplinary group of 34 experts from 15 countries developed this update and expansion of the recommendations on the management of acute nonvariceal upper gastrointestinal bleeding (UGIB) from 2003.
Methods
The Appraisal of Guidelines for Research and Evaluation (AGREE) process and independent ethics protocols were used. Sources of data included original and published systematic reviews; randomized, controlled trials; and abstracts up to October 2008. Quality of evidence and strength of recommendations have been rated by using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria.
Recommendations
Recommendations emphasize early risk stratification, by using validated prognostic scales, and early endoscopy (within 24 hours). Endoscopic hemostasis …
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