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Related Concept Videos

Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

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Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Gastritis III: Clinical Manifestations and Management01:23

Gastritis III: Clinical Manifestations and Management

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The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
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Peptic Ulcer Disease IV: Management01:26

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Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
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Pharmacological management
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Upper GI Series: Barium Swallow01:24

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The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
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Peptic Ulcer Disease V: Surgical Management and Nursing Care

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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
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Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices
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[Guidelines for Non-variceal Upper Gastrointestinal Bleeding].

Joon Sung Kim1, Byung-Wook Kim1, Do Hoon Kim2

  • 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Korea.

The Korean Journal of Gastroenterology = Taehan Sohwagi Hakhoe Chi
|June 26, 2020
PubMed
Summary

New guidelines address non-variceal upper gastrointestinal bleeding (NVUGIB) in Korea. These practical recommendations are crucial given the high prevalence of Helicobacter pylori infection and endoscopy access in the country.

Keywords:
Anti-thromboticsGuidelineNon-steroidal anti-inflammatory drugNon-variceal upper gastrointestinal bleeding

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Area of Science:

  • Gastroenterology
  • Internal Medicine

Background:

  • Non-variceal upper gastrointestinal bleeding (NVUGIB) is a common cause of hospital visits, leading to significant morbidity and mortality.
  • Existing management guidelines for NVUGIB are available for European and Asian-Pacific regions, but not specifically for Korea.
  • Korea presents unique challenges for NVUGIB management, including a high prevalence of Helicobacter pylori infection and widespread endoscopy accessibility.

Purpose of the Study:

  • To establish practical, evidence-based management guidelines for non-variceal upper gastrointestinal bleeding (NVUGIB) tailored to the Korean healthcare context.
  • To address the unmet need for specific NVUGIB guidelines in Korea, considering local epidemiological factors.

Main Methods:

  • A comprehensive review of recent scientific evidence related to NVUGIB management.
  • Deliberation and recommendation formulation by the Korean Society of Gastroenterology.

Main Results:

  • The Korean Society of Gastroenterology has developed and recommends practical management guidelines for NVUGIB.
  • These guidelines are designed to optimize patient care in Korea, considering factors like Helicobacter pylori prevalence and endoscopy use.

Conclusions:

  • The newly established guidelines are mandatory for managing NVUGIB in Korea.
  • These recommendations aim to improve outcomes for patients experiencing non-variceal upper gastrointestinal bleeding within the Korean healthcare system.