Szura Mirosław, Pasternak Artur
Mirosław Szura, Artur Pasternak, First Department, General, Oncological and Gastrointestinal Surgery, Jagiellonian University Medical College, 31-501 Krakow, Poland.
World J Gastrointest Endosc. 2015 Sep 25;7(13):1088-95. doi: 10.4253/wjge.v7.i13.1088.
Upper non-variceal gastrointestinal bleeding is a condition that requires immediate medical intervention and has a high associated mortality rate (exceeding 10%). The vast majority of upper gastrointestinal bleeding cases are due to peptic ulcers. Helicobacter pylori infection, non-steroidal anti-inflammatory drugs and aspirin are the main risk factors for peptic ulcer disease. Endoscopic therapy has generally been recommended as the first-line treatment for upper gastrointestinal bleeding as it has been shown to reduce recurrent bleeding, the need for surgery and mortality. Early endoscopy (within 24 h of hospital admission) has a greater impact than delayed endoscopy on the length of hospital stay and requirement for blood transfusion. This paper aims to review and compare the efficacy of the types of endoscopic hemostasis most commonly used to control non-variceal gastrointestinal bleeding by pooling data from the literature.
上消化道非静脉曲张性出血是一种需要立即进行医学干预且死亡率较高（超过10%）的病症。绝大多数上消化道出血病例是由消化性溃疡引起的。幽门螺杆菌感染、非甾体抗炎药和阿司匹林是消化性溃疡疾病的主要危险因素。内镜治疗通常被推荐为上消化道出血的一线治疗方法，因为它已被证明可以减少再出血、手术需求和死亡率。早期内镜检查（入院后24小时内）对住院时间和输血需求的影响比延迟内镜检查更大。本文旨在通过汇总文献数据，回顾和比较最常用于控制非静脉曲张性消化道出血的内镜止血类型的疗效。
