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Management of Non-Variceal Upper Gastrointestinal Bleeding
1Department of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.
None:
Acute non-variceal upper gastrointestinal bleeding (NVUGIB) is a significant medical emergency associated with high morbidity and 5%-10% mortality. NVUGIB originates from sources proximal to the ligament of Treitz and primarily encompasses peptic ulcer bleeding, Mallory-Weiss tears, and malignant lesions. This review aims to summarize the standardized, multidisciplinary management strategies for NVUGIB. Patient care can be categorized into three distinct phases: pre-endoscopy, endoscopic intervention, and post-endoscopy management. The relevant therapeutic approaches were based on recommendations from major international guidelines, including the American College of Gastroenterology (ACG), European Society of Gastrointestinal Endoscopy (ESGE), and the guidelines published in the Korean Journal of Gastroenterology.
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