Upper gastrointestinal tract bleeding management: Belgian guidelines for adults and children.
Acta Gastroenterol Belg
; 74(1): 45-66, 2011 Mar.
Article
en En
| MEDLINE
| ID: mdl-21563653
ABSTRACT
UNLABELLED Upper gastrointestinal bleeding (UGIB) remains a common disease affecting 100 to 170 per 100 000 adults per year and causing thereby a significant burden to healthcare resources. Despite the improvements in the management of this disorder, the associated mortality ranges from 5 to 14%. Since the general management of UGIB is not uniform, the main objective of this work is to provide guidelines for the care of adults and children presenting with bleeding caused by gastro-duodenal ulcer or variceal rupture. METHODS:
In the absence of evidence-based recommendations, these guidelines were proposed after expert opinions reconciliation and graded accordingly. They are based on the published literature up to September 2010 and graded according to the class of evidence.RESULTS:
The current guidelines for the management of UGIB include recommendations for the diagnostic process, general supportive care, pharmacological therapy aiming at bleeding control, specific and endoscopic treatment of acute bleeding and follow-up for both gastro-duodenal ulcers and portal hypertension-induced bleeding.
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Base de datos:
MEDLINE
Asunto principal:
Guías de Práctica Clínica como Asunto
/
Medicina Basada en la Evidencia
/
Gastroenterología
/
Hemorragia Gastrointestinal
Tipo de estudio:
Guideline
Límite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Child, preschool
/
Humans
/
Infant
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Acta Gastroenterol Belg
Año:
2011
Tipo del documento:
Article
País de afiliación:
Bélgica