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NEW INSIGHTS IN SURGERY
Minerva Chirurgica 2011 December;66(6):573-87
Copyright © 2012 EDIZIONI MINERVA MEDICA
language: English
Current management of upper gastrointestinal bleeding
Kirschniak A. 1, Stierle D. 2, Philipp F. 1, Gensior M. 1, Niwa U. C. 1, Kreuzer J. 1, Falch C. 1 ✉
1 Working Group for Experimental Minimally Invasive Surgery and Training, Clinic for Visceral General and Transplant Surgery, Tübingen University Hospital, Tübingen, Germany; 2 Department of Cardiology, Albertinen Heart Center, Hamburg, Germany
Despite the introduction of proton pump inhibitors and modern flexible endoscopy techniques, upper gastrointestinal bleeding is still a common and serious condition. Once considered the domain of surgery, it is now uncommon to treat endoscopically controllable bleeding surgically. Therefore, most surgically treated cases are complicated and associated with a high mortality rate. This article presents the current management of upper gastrointestinal bleeding. Besides the description of current endoscopic treatment, medical prophylaxis and treatment, as well as radiological intervention, the article describes the indication and the surgical procedure.