Therapeutic and interventional endoscopy for gastrointestinal bleeding

Therapeutic and interventional endoscopy for gastrointestinal bleeding

  • نوع فایل : کتاب
  • زبان : انگلیسی
  • مؤلف : I. Jovanovic K. Vormbrock C. M. Wilcox K. Mo¨nkemu¨ ller
  • چاپ و سال / کشور: 2011

Description

Introduction Gastrointestinal (GI) bleeding remains a common clinical problem encountered by every emergency room and trauma physician. Endoscopy remains the main approach to the diagnosis and therapy of GI bleeding. Objectives To present the modern endoscopic approach for GI bleeding. Methods Narrative review based on our expertise and inclusion of classic articles dealing with interventional and therapeutic GI endoscopy. Results GI hemorrhage is now classified as upper, middle, and lower GI bleeding. Upper GI bleeding is defined as hemorrhage originating from the oropharynx to the ligament ofTreitz (or papilla ofVater),middleGI bleeding occurs distal to the papilla of Vater to the terminal ileum, and lower GI bleeding is defined as bleeding distal to the ileocecal valve, including the entire colon and anorectum. Endoscopic methods used to diagnosed and treat GI bleeding include esophagogastroduodenoscopy, duodenoscopy, capsule endoscopy, double- and single-balloon enteroscopy, spiral enteroscopy, and colonosocopy. Conclusions This is the first review paper dedicated to endoscopic therapy for bleeding involving any part of the luminal GI tract (i.e., esophagus, stomach, small bowel, and colon). Modern endoscopy permits the investigation and treatment of the majority of conditions affecting the entire hollow GI tract.
Eur J Trauma Emerg Surg (2011) 37:339–351 DOI 10.1007/s00068-011-0125-2 Received: 15 March 2011 / Accepted: 25 May 2011 / Published online: 23 June 2011
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