Kim Joon Sung, Park Sung Min, Kim Byung-Wook
Division of Gastroenterology, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
Clin Endosc. 2015 Mar;48(2):106-11. doi: 10.5946/ce.2015.48.2.106. Epub 2015 Mar 27.
Acute upper gastrointestinal bleeding is a common medical emergency around the world and the major cause is peptic ulcer bleeding. Endoscopic treatment is fundamental for the management of peptic ulcer bleeding. Despite recent advances in endoscopic treatment, mortality from peptic ulcer bleeding has still remained high. This is because the disease often occurs in elderly patients with frequent comorbidities and are taking ulcerogenic medications. Therefore, the management of peptic ulcer bleeding is still a challenge for clinicians. This article reviews the various endoscopic methods available for management of peptic ulcer bleeding and the techniques in using these methods.
急性上消化道出血是全球常见的医疗急症,主要病因是消化性溃疡出血。内镜治疗是消化性溃疡出血管理的基础。尽管内镜治疗近年来取得了进展,但消化性溃疡出血的死亡率仍然很高。这是因为该疾病常发生于伴有多种合并症且正在服用致溃疡药物的老年患者中。因此,消化性溃疡出血的管理对临床医生来说仍然是一项挑战。本文综述了可用于管理消化性溃疡出血的各种内镜方法以及使用这些方法的技术。