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本文引用的文献

1
Clinical characteristics of acute non-varicose upper gastrointestinal bleeding and the effect of endoscopic hemostasis.急性非静脉曲张性上消化道出血的临床特征及内镜止血效果
World J Clin Cases. 2024 Mar 26;12(9):1597-1605. doi: 10.12998/wjcc.v12.i9.1597.
2
Acute Upper Non-variceal and Lower Gastrointestinal Bleeding.急性非静脉曲张性上消化道出血和下消化道出血。
J Gastrointest Surg. 2022 Apr;26(4):932-949. doi: 10.1007/s11605-022-05258-4. Epub 2022 Jan 26.
3
ACG Clinical Guideline: Upper Gastrointestinal and Ulcer Bleeding.ACG 临床指南：上消化道和溃疡出血。
Am J Gastroenterol. 2021 May 1;116(5):899-917. doi: 10.14309/ajg.0000000000001245.
4
Management of Non-Variceal Upper GI Bleeding in the Geriatric Population: An Update.老年人群非静脉曲张性上消化道出血的处理：更新。
Curr Gastroenterol Rep. 2021 Mar 25;23(4):5. doi: 10.1007/s11894-021-00805-6.
5
Genetic polymorphisms associated with upper gastrointestinal bleeding: a systematic review.与上消化道出血相关的遗传多态性：系统评价。
Pharmacogenomics J. 2021 Feb;21(1):20-36. doi: 10.1038/s41397-020-00185-6. Epub 2020 Sep 18.
6
Hemostatic spray powder TC-325 in the primary endoscopic treatment of peptic ulcer-related bleeding: multicenter international registry.止血喷涂粉末 TC-325 在消化性溃疡相关出血的内镜初步治疗中的应用：多中心国际注册研究。
Endoscopy. 2021 Jan;53(1):36-43. doi: 10.1055/a-1186-5360. Epub 2020 May 26.
7
Management of Nonvariceal Upper Gastrointestinal Bleeding: Guideline Recommendations From the International Consensus Group.非静脉曲张性上消化道出血的管理：国际共识组的指南推荐。
Ann Intern Med. 2019 Dec 3;171(11):805-822. doi: 10.7326/M19-1795. Epub 2019 Oct 22.
8
Multicenter evaluation of first-line endoscopic treatment with the OTSC in acute non-variceal upper gastrointestinal bleeding and comparison with the Rockall cohort: the FLETRock study.多中心评估 OTSC 在急性非静脉曲张性上消化道出血的一线内镜治疗，并与 Rockall 队列进行比较：FLETRock 研究。
Surg Endosc. 2018 Jan;32(1):307-314. doi: 10.1007/s00464-017-5678-7. Epub 2017 Jun 27.
9
Relevance of surgery in patients with non-variceal upper gastrointestinal bleeding.非静脉曲张性上消化道出血患者手术治疗的相关性
Langenbecks Arch Surg. 2017 May;402(3):509-519. doi: 10.1007/s00423-017-1552-2. Epub 2017 Jan 14.
10
Guidelines for endoscopic management of non-variceal upper gastrointestinal bleeding.内镜治疗非静脉曲张性上消化道出血指南。
Dig Endosc. 2016 May;28(4):363-378. doi: 10.1111/den.12639. Epub 2016 Apr 5.

急性非静脉曲张性上消化道出血的临床概况与治疗：来自中国陕西一家大型中心的见解

Clinical landscape and treatment of acute non-variceal upper gastrointestinal bleeding: Insights from a high-volume center in Shaanxi, China.

作者信息

Improta Luca

机构信息

Department of General Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome 00128, Italy.

出版信息

World J Clin Cases. 2024 Dec 16;12(35):6855-6858. doi: 10.12998/wjcc.v12.i35.6855.

DOI:10.12998/wjcc.v12.i35.6855
PMID:39687644
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11525905/
Abstract

In this editorial we comment on the article by Wang , recently published on . Acute non-variceal upper gastrointestinal bleeding (ANVUGIB) represents a common and potentially serious gastroenterological emergency. Wang conducted a detailed study on the management of ANVUGIB in a high-volume center in the Shaanxi region, China. Analyzing data from over 530 patients provided a comprehensive overview of clinical, epidemiological, and treatment characteristics. Results highlighted a younger patient population compared to European studies, with a higher prevalence of gastric and duodenal ulcers as the leading cause of bleeding. Endoscopic treatment is currently the preferred therapeutic option, offering a variety of effective techniques. This study emphasizes the importance of implementing current guidelines in ANVUGIB management and highlights the crucial role of endoscopy in its management.

摘要

在这篇社论中，我们对王[作者姓氏]最近发表的文章发表评论。急性非静脉曲张性上消化道出血（ANVUGIB）是一种常见且可能严重的胃肠病急症。王[作者姓氏]在中国陕西省一个高诊疗量的中心对ANVUGIB的管理进行了详细研究。分析来自530多名患者的数据，全面概述了临床、流行病学和治疗特征。结果显示，与欧洲的研究相比，患者群体更年轻，胃溃疡和十二指肠溃疡作为出血的主要原因患病率更高。内镜治疗目前是首选的治疗方法，有多种有效技术。这项研究强调了在ANVUGIB管理中实施现行指南的重要性，并突出了内镜检查在其管理中的关键作用。