upper gastrointestinal bleeding guidelines 2018 provigil

These clips are much larger than standard through-the-scope clips so may be successful when applied to larger fibrotic lesions or larger feeding vessels. Plavix. Non-variceal upper gastrointestinal bleeding (NVUGIB) is bleeding that develops in the oesophagus, stomach or proximal duodenum. References were also identified from the international, UK, European, American, and Asia-Pacific guidelines on upper gastrointestinal bleeding published during this period in addition to relevant review articles. A recent multicenter observational study of 619 patients requiring endoscopic therapy for upper gastrointestinal bleeding reported that 44% were taking an antithrombotic drug at presentation, with 25% taking more than one.The 2016 US guideline on management of antithrombotic agents for patients undergoing endoscopy suggests that platelet transfusion is an option for life threatening or serious bleeding in patients taking antiplatelet agents.Less information is available regarding the management of anticoagulants, including warfarin and the newer direct oral anticoagulants (DOACs), in patients with upper gastrointestinal bleeding. A meta-analysisA prospective, randomized trial of butyl cyanoacrylate injection versus band ligation in the management of bleeding gastric varicesA randomized trial of endoscopic treatment of acute gastric variceal hemorrhage: N-butyl-2-cyanoacrylate injection versus band ligationLow incidence of complications from endoscopic gastric variceal obturation with butyl cyanoacrylateThe use of thrombin injections in the management of bleeding gastric varices: a single-center experienceHuman thrombin for the treatment of gastric and ectopic varicesOutcomes of endoscopic human thrombin injection in the management of gastric varicesIntermittent vs continuous proton pump inhibitor therapy for high-risk bleeding ulcers: a systematic review and meta-analysisEvaluation of the pharmacokinetics and pharmacodynamics of intravenous lansoprazoleDouble oral esomeprazole after a 3-day intravenous esomeprazole infusion reduces recurrent peptic ulcer bleeding in high-risk patients: a randomised controlled studyClopidogrel with or without omeprazole in coronary artery diseaseLow-dose terlipressin plus banding ligation versus low-dose terlipressin alone in the prevention of very early rebleeding of oesophageal varicesProspective randomised study of effect of octreotide on rebleeding from oesophageal varices after endoscopic ligationEarly TIPS (Transjugular Intrahepatic Portosystemic Shunt) Cooperative Study GroupEarly use of TIPS in patients with cirrhosis and variceal bleedingMulticenter external validation of risk stratification criteria for patients with variceal bleedingContinuation of low-dose aspirin therapy in peptic ulcer bleeding: a randomized trialRestarting anticoagulation and outcomes after major gastrointestinal bleeding in atrial fibrillationManagement of patients on antithrombotic agents undergoing emergency and elective endoscopy: joint Asian Pacific Association of Gastroenterology (APAGE) and Asian Pacific Society for Digestive Endoscopy (APSDE) practice guidelinesReintroduction of anti-thrombotic therapy after a gastrointestinal haemorrhage: if and when?Risk of thromboembolism, recurrent hemorrhage, and death after warfarin therapy interruption for gastrointestinal tract bleedingValidation of clinical classification schemes for predicting stroke: results from the National Registry of Atrial FibrillationComparative validation of a novel risk score for predicting bleeding risk in anticoagulated patients with atrial fibrillation: the HAS-BLED (Hypertension, Abnormal Renal/Liver Function, Stroke, Bleeding History or Predisposition, Labile INR, Elderly, Drugs/Alcohol Concomitantly) scoreBleeding risk scores in atrial fibrillation and venous thromboembolismEndoscopic retreatment compared with surgery in patients with recurrent bleeding after initial endoscopic control of bleeding ulcersHemostatic powders in gastrointestinal bleeding: a systematic reviewEmbolization versus surgery for peptic ulcer bleeding after failed endoscopic hemostasis: a meta-analysisA systematic review of transarterial embolization versus emergency surgery in treatment of major nonvariceal upper gastrointestinal bleedingProphylactic angiographic embolisation after endoscopic control of bleeding to high-risk peptic ulcers: a randomised controlled trialIndications, technique, and complications of balloon tamponade for variceal gastrointestinal bleedingEsophageal balloon tamponade versus esophageal stent in controlling acute refractory variceal bleeding: A multicenter randomized, controlled trialEarly clinical experience of the safety and effectiveness of Hemospray in achieving hemostasis in patients with acute peptic ulcer bleedingHemospray application in nonvariceal upper gastrointestinal bleeding: results of the Survey to Evaluate the Application of Hemospray in the Luminal TractRoutine use of Hemospray for gastrointestinal bleeding: prospective two-center experience in SwitzerlandHemostatic powder spray: a new method for managing gastrointestinal bleedingTC-325 versus the conventional combined technique for endoscopic treatment of peptic ulcers with high-risk bleeding stigmata: A randomized pilot studyEarly application of haemostatic powder added to standard management for oesophagogastric variceal bleeding: a randomised trialOver the scope clips are more effective than standard endoscopic therapy for patients with recurrent bleeding of peptic ulcersDoppler endoscopic probe monitoring of blood flow improves risk stratification and outcomes of patients with severe nonvariceal upper gastrointestinal hemorrhageconsultant gastroenterologist and honorary professorManagement of acute upper gastrointestinal bleeding

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