作者
Joseph JY Sung, Francis KL Chan, Minhu Chen, Jessica YL Ching, KY Ho, Udom Kachintorn, Nayoung Kim, James YW Lau, Jayaram Menon, Abdul Aziz Rani, Nageshwar Reddy, Jose Sollano, Kentaro Sugano, Kelvin KF Tsoi, Chun Ying Wu, Neville Yeomans, Namish Vakil, KL Goh
发表日期
2011/9/1
来源
Gut
卷号
60
期号
9
页码范围
1170-1177
出版商
BMJ Publishing Group
简介
Upper gastrointestinal bleeding (UGIB), especially peptic ulcer bleeding, remains one of the most important cause of hospitalisation and mortality world wide. In Asia, with a high prevalence of Helicobacter pylori infection, a potential difference in drug metabolism, and a difference in clinical management of UGIB due to variable socioeconomic environments, it is considered necessary to re-examine the International Consensus of Non-variceal Upper Gastrointestinal Bleeding with emphasis on data generated from the region. The working group, which comprised experts from 12 countries from Asia, recommended the use of the Blatchford score for selection of patients who require endoscopic intervention and which would allow early discharge of patients at low risk. Patients' comorbid conditions should be included in risk assessment. A pre-endoscopy proton pump inhibitor (PPI) is recommended as a stop-gap …
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