Management of Upper Gastrointestinal Bleeding in Children: Variceal and Nonvariceal
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Authors
Lirio, Richard A.UMass Chan Affiliations
Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and NutritionDocument Type
Journal ArticlePublication Date
2016-01-01Keywords
Coffee-ground emesisHematemesis
Nonvariceal bleeding
Therapeutic endoscopy
Upper gastrointestinal bleeding
Variceal bleeding
Digestive System Diseases
Gastroenterology
Pediatrics
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Show full item recordAbstract
Upper gastrointestinal (UGI) bleeding is generally defined as bleeding proximal to the ligament of Treitz, which leads to hematemesis. There are several causes of UGI bleeding necessitating a detailed history to rule out comorbid conditions, medications, and possible exposures. In addition, the severity, timing, duration, and volume of the bleeding are important details to note for management purposes. Despite the source of the bleeding, acid suppression with a proton-pump inhibitor has been shown to be effective in minimizing rebleeding. Endoscopy remains the interventional modality of choice for both nonvariceal and variceal bleeds because it can be diagnostic and therapeutic.Source
Gastrointest Endosc Clin N Am. 2016 Jan;26(1):63-73. doi: 10.1016/j.giec.2015.09.003. Epub 2015 Oct 21. Link to article on publisher's siteDOI
10.1016/j.giec.2015.09.003Permanent Link to this Item
http://hdl.handle.net/20.500.14038/43759PubMed ID
26616897Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1016/j.giec.2015.09.003