Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX.
Division of Gastroenterology & Hepatology, University of Texas Medical Branch, 7400 Jones Drive, Apt 724, Galveston, TX 77551.
Dis Mon. 2018 Jul;64(7):333-343. doi: 10.1016/j.disamonth.2018.02.003. Epub 2018 Mar 7.
Non-variceal upper gastrointestinal bleeding continues to be an important cause of morbidity and mortality. The most common causes include peptic ulcer disease, Mallory-Weiss syndrome, erosive gastritis, duodenitis, esophagitis, malignancy, angiodysplasias and Dieulafoy's lesion. Initial assessment and early aggressive resuscitation significantly improves outcomes. Upper gastrointestinal endoscopy continues to be the gold standard for diagnosis and treatment. We present a comprehensive review of literature for the evaluation and management of non-variceal upper gastrointestinal bleeding.
非静脉曲张性上消化道出血仍然是发病率和死亡率的重要原因。最常见的原因包括消化性溃疡病、Mallory-Weiss 综合征、糜烂性胃炎、十二指肠炎、食管炎、恶性肿瘤、血管畸形和 Dieulafoy 病变。初始评估和早期积极复苏显著改善预后。上消化道内镜检查仍然是诊断和治疗的金标准。我们对非静脉曲张性上消化道出血的评估和管理进行了全面的文献复习。