Therapeutic Options for Patients Bleeding with Peptic Ulcers

It is likely that the best outcome for the patient with an acute upper gastrointestinal bleed (GIB) includes early diagnosis: for a bleeding lesion with a high risk of rebleeding, in an older patient with systolic h.ypotension or in a person with multiple medical problems. Early therapeutic endoscop...

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Main Author: ABR Thomson
Format: Article
Language:English
Published: Wiley 1994-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1994/593132
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author ABR Thomson
author_facet ABR Thomson
author_sort ABR Thomson
collection DOAJ
description It is likely that the best outcome for the patient with an acute upper gastrointestinal bleed (GIB) includes early diagnosis: for a bleeding lesion with a high risk of rebleeding, in an older patient with systolic h.ypotension or in a person with multiple medical problems. Early therapeutic endoscopy with meticulous control of intragastric pH will Likely achieve the best outcome. The ideal pH criterion to stop bleeding or to prevent recurrence is unknown. An algorithm is presented to guide the clinical management of patients with GIB, and to focus on important questi.ons for future therapeutic studies.
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institution Kabale University
issn 0835-7900
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series Canadian Journal of Gastroenterology
spelling doaj-art-354d8d9901674630837d942343fdbdad2025-02-03T01:02:11ZengWileyCanadian Journal of Gastroenterology0835-79001994-01-018426927410.1155/1994/593132Therapeutic Options for Patients Bleeding with Peptic UlcersABR Thomson0Nutrition and Metabolism Research Group, Division of Gastroenterology, Department of Medicine, University of Alberta, Edmonton, Alberta, CanadaIt is likely that the best outcome for the patient with an acute upper gastrointestinal bleed (GIB) includes early diagnosis: for a bleeding lesion with a high risk of rebleeding, in an older patient with systolic h.ypotension or in a person with multiple medical problems. Early therapeutic endoscopy with meticulous control of intragastric pH will Likely achieve the best outcome. The ideal pH criterion to stop bleeding or to prevent recurrence is unknown. An algorithm is presented to guide the clinical management of patients with GIB, and to focus on important questi.ons for future therapeutic studies.http://dx.doi.org/10.1155/1994/593132
spellingShingle ABR Thomson
Therapeutic Options for Patients Bleeding with Peptic Ulcers
Canadian Journal of Gastroenterology
title Therapeutic Options for Patients Bleeding with Peptic Ulcers
title_full Therapeutic Options for Patients Bleeding with Peptic Ulcers
title_fullStr Therapeutic Options for Patients Bleeding with Peptic Ulcers
title_full_unstemmed Therapeutic Options for Patients Bleeding with Peptic Ulcers
title_short Therapeutic Options for Patients Bleeding with Peptic Ulcers
title_sort therapeutic options for patients bleeding with peptic ulcers
url http://dx.doi.org/10.1155/1994/593132
work_keys_str_mv AT abrthomson therapeuticoptionsforpatientsbleedingwithpepticulcers