Muguruma Naoki, Kitamura Shinji, Kimura Tetsuo, Miyamoto Hiroshi, Takayama Tetsuji
Department of Gastroenterology and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima, Japan.
Clin Endosc. 2015 Mar;48(2):96-101. doi: 10.5946/ce.2015.48.2.96. Epub 2015 Mar 27.
Nonvariceal upper gastrointestinal (GI) bleeding is one of the most common reasons for hospitalization and a major cause of morbidity and mortality worldwide. Recently developed endoscopic devices and supporting apparatuses can achieve endoscopic hemostasis with greater safety and efficiency. With these advancements in technology and technique, gastroenterologists should have no concerns regarding the management of acute upper GI bleeding, provided that they are well prepared and trained. However, when endoscopic hemostasis fails, endoscopy should not be continued. Rather, endoscopists should refer patients to radiologists and surgeons without any delay for evaluation regarding the appropriateness of emergency interventional radiology or surgery.
非静脉曲张性上消化道（GI）出血是全球范围内住院治疗的最常见原因之一，也是发病和死亡的主要原因。最近开发的内镜设备和辅助器械能够更安全、高效地实现内镜止血。随着这些技术和技巧的进步，只要做好充分准备和培训，胃肠病学家在急性上消化道出血的管理方面应无需担忧。然而，当内镜止血失败时，不应继续进行内镜检查。相反，内镜医师应毫不延迟地将患者转诊给放射科医生和外科医生，以便评估紧急介入放射学或手术的适宜性。
