Upper gastrointestinal bleeding

Lynn Gries, Peter Rhee

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Upper gastrointestinal bleeding (UGIB) is a common problem and frequently generates a consult for the acute care surgeon. Although very few patients with this complaint ultimately have any surgical intervention, surgeons have historically been intimately involved in the management of UGIB patients. With the discovery of Helicobacter pylori, effective H. pylori treatment and eradication regimens have greatly decreased the incidence of peptic ulcer disease as well as shifted the algorithm away from surgical treatment. Moreover, there appears to be a decreasing incidence and mortality of peptic ulcer disease as well as a decrease in acute UGIB related to peptic ulcer disease [1]. Recent data suggests that surgical intervention for any symptom or complication of peptic ulcer disease have declined more than 80 % [2]. Moreover, the fields of diagnostic and therapeutic endoscopy as well as interventional radiology have expanded in directions that have had a huge impact on the treatment options available for the patient with an UGIB. The role of the surgeon will often be to assist their colleagues in guiding the patient into an informed and evidence based plan of action.

Original languageEnglish (US)
Title of host publicationCommon Problems in Acute Care Surgery
PublisherSpringer New York
Pages249-262
Number of pages14
ISBN (Electronic)9781461461234
ISBN (Print)1461461227, 9781461461227
DOIs
StatePublished - Jul 1 2013

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Gries, L., & Rhee, P. (2013). Upper gastrointestinal bleeding. In Common Problems in Acute Care Surgery (pp. 249-262). Springer New York. https://doi.org/10.1007/978-1-4614-6123-4_19