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World Journal of Emergency Medicine ›› 2011, Vol. 2 ›› Issue (1): 5-12.

• Review Article •     Next Articles

Management of upper gastrointestinal bleeding emergencies: evidence-based medicine and practical considerations

Zongyu John Chen(), Martin L Freeman   

  1. Minnesota Gastroenterology PA, Minneapolis, MN 55414 (Chen ZJ); Department of Gastroenterology, Hepatology and Nutrition, University of Minnesota Medical School, Minneapolis, MN 55455 (Freeman ML), USA
  • Received:2010-11-19 Accepted:2011-01-26 Online:2011-03-15 Published:2020-12-24
  • Contact: Zongyu John Chen E-mail:jchen@mngastro.com

Abstract:

Acute upper gastrointestinal (GI) bleeding remains one of the most common encounters in emergency medicine. The increased use of non-steroid anti-inflammatory drugs by the general population and the increased prescription of anti-platelet agents and anti-coagulants after cardiovascular interventions and for prevention of cerebral vascular accidents may have aggravated the situation. Significant progress has been made in the past decade or so in the non-surgical management of acute upper GI bleeding emergencies. This article will review the current standard treatment of the most common upper GI bleeding emergencies in adults as supported by evidence-based medicine with practical considerations from the authors' own practice experience.

Key words: Emergency medicine, Upper gastrointestinal bleeding, Evidence-based medicine