Almadi Majid A, Barkun Alan N
Division of Gastroenterology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia; Division of Gastroenterology, The McGill University Health Center, Montreal General Hospital, McGill University, 1650 Cedar Avenue, Montreal, Quebec H3G 1A4, Canada.
Division of Gastroenterology, The McGill University Health Center, Montreal General Hospital, McGill University, 1650 Cedar Avenue, Montreal, Quebec H3G 1A4, Canada; Division of Clinical Epidemiology, The McGill University Health Center, Montreal General Hospital, McGill University, 1650 Cedar Avenue, Montreal, Quebec H3G 1A4, Canada.
Gastrointest Endosc Clin N Am. 2018 Jul;28(3):363-377. doi: 10.1016/j.giec.2018.02.008.
The approach to lower gastrointestinal bleeding (LGIB) has evolved over the last few years to incorporate a multidisciplinary management strategy. Although the causes of LGIB vary depending on the age and comorbid conditions of patients, the initial resuscitation and principles of optimizing patients' condition before endoscopic evaluation, when appropriate, are the cornerstones to clinical care. The role of risk stratification is to triage patients as well as to mobilize health care resources based on predicted outcomes. Individualized management according to patients' comorbid conditions has been a focus in most recent guidelines.
在过去几年中，下消化道出血（LGIB）的治疗方法已发展为采用多学科管理策略。尽管LGIB的病因因患者年龄和合并症而异，但初始复苏以及在适当情况下在内镜检查前优化患者病情的原则是临床护理的基石。风险分层的作用是根据预测结果对患者进行分类，并调动医疗资源。根据患者合并症进行个体化管理一直是最新指南中的重点。
