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Purpose Of Review: To review new advances in managing nonvariceal upper gastrointestinal hemorrhage.
Recent Findings: Implementation of various scoring systems in combination with video capsule endoscopy assists in stratifying and managing nonvariceal upper gastrointestinal bleeding. New techniques such as thermocoagulation and hemoclips are useful to treat bleeding.
Summary: The advancement of methods and procedures in managing nonvariceal upper gastrointestinal bleeding has decreased mortality of patients presenting with this type of hemorrhage. In this chapter, we will be discussing various scores to stratify nonvariceal upper gastrointestinal bleeding and techniques to stop bleeding.
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http://dx.doi.org/10.1097/MOG.0000000000000487 | DOI Listing |
Endoscopy
September 2025
Medical Department II - Gastroenterology, University Hospital Würzburg, Würzburg, Germany.
Current guidelines recommend early endoscopy (within 24 hours) for hemodynamically stable patients with suspected nonvariceal upper gastrointestinal hemorrhage (NVUGIH). We evaluated the use of a new photometric capsule examination (PCE) for stratification of patients into emergency (within 12 hours) and elective (within 48-96 hours) endoscopy.Patients with suspected NVUGIH were enrolled at four centers and received PCE.
View Article and Find Full Text PDFLife (Basel)
August 2025
Department of Radiology, Faculty of Medicine, Titu Maiorescu University, 67A Gheorghe Petrașcu Street, 031593 Bucharest, Romania.
: Non-variceal upper gastrointestinal bleeding (NVUGIB) remains a critical medical-surgical emergency associated with significant morbidity, mortality, and healthcare burden worldwide. Despite advances in diagnostic and therapeutic modalities, NVUGIB continues to pose complex clinical challenges, particularly in resource-limited settings. : This retrospective observational study analyzed 364 consecutive adult patients diagnosed with NVUGIB and hospitalized at the First Surgical Clinic of the County Emergency Clinical Hospital Craiova between January 2009 and December 2014.
View Article and Find Full Text PDFDiseases
August 2025
Gastroenterology Department, University of Medicine and Pharmacy Craiova, Emergency Clinical Hospital Craiova, 200642 Craiova, Romania.
(1) Background: Acute variceal bleeding (AVB) represents an important cause of upper gastrointestinal bleeding (UGIB). Several prognostic scores may be useful for assessing mortality and rebleeding risk, with the Glasgow-Blatchford score (GBS) and Rockall score being the most commonly used for non-variceal bleeding. Scores assessing liver failure (MELD and Child) do not reflect bleeding severity.
View Article and Find Full Text PDFEndosc Int Open
July 2025
Dept. of Medical Gastroenterology, Asian Institute of Gastroenterology (AIG Hospitals), Hyderabad, India.
Background And Study Aims: Endoscopic spray therapy has been shown to be effective and safe in managing upper gastrointestinal bleeding (UGIB). We aimed to evaluate safety and efficacy of the novel powder-based Resolv Endoscopic Hemostat System in managing UGIB.
Patients And Methods: This was a single-center, prospective, single-arm study conducted from July 2022 to February 2023.
BMC Gastroenterol
August 2025
Department of Gastroenterology, Beijing Luhe Hospital, Capital Medical University, Beijing, 101149, PR China.
Background: Acute nonvariceal upper gastrointestinal bleeding (ANVUGIB) is a common clinical emergency disease with high morbidity and mortality. H. pylori (HP) testing during hospitalization increases the eradication rate of HP and improves the prognosis of patients.
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