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How Would You Manage This Patient With Nonvariceal Upper Gastrointestinal Bleeding? : Grand Rounds Discussion From Beth Israel Deaconess Medical Center
How Would You Manage This Patient With Nonvariceal Upper Gastrointestinal Bleeding? : Grand Rounds Discussion From Beth Israel Deaconess Medical Center
- Source :
- Annals of internal medicine. 174(6)
- Publication Year :
- 2021
-
Abstract
- Nonvariceal upper gastrointestinal bleeding is common, morbid, and potentially fatal. Cornerstones of inpatient management include fluid resuscitation; blood transfusion; endoscopy; and initiation of proton-pump inhibitor therapy, which continues in an individualized manner based on risk factors for recurrent bleeding in the outpatient setting. The International Consensus Group released guidelines on the management of nonvariceal upper gastrointestinal bleeding in 2019. These guidelines provide a helpful, evidence-based roadmap for management of gastrointestinal bleeding but leave certain management details to the discretion of the treating physician. Here, 2 gastroenterologists consider the care of a patient with nonvariceal upper gastrointestinal bleeding from a peptic ulcer, specifically debating approaches to blood transfusion and endoscopy timing in the hospital, as well as the recommended duration of proton-pump inhibitor therapy after discharge.
- Subjects :
- medicine.medical_specialty
Resuscitation
Gastrointestinal bleeding
Blood transfusion
medicine.medical_treatment
MEDLINE
Endoscopy, Gastrointestinal
Recurrence
Risk Factors
Internal Medicine
medicine
Humans
Blood Transfusion
Teaching Rounds
Intensive care medicine
Pantoprazole
Aged
medicine.diagnostic_test
business.industry
Proton Pump Inhibitors
General Medicine
After discharge
medicine.disease
Endoscopy
Peptic Ulcer Hemorrhage
Practice Guidelines as Topic
Female
Upper gastrointestinal bleeding
business
Subjects
Details
- ISSN :
- 15393704
- Volume :
- 174
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Annals of internal medicine
- Accession number :
- edsair.doi.dedup.....e6037a2857eedd1abf6749e5d4f2557a