Tags

Type your tag names separated by a space and hit enter

Management of haematemesis and melaena.
Postgrad Med J. 2004 Jul; 80(945):399-404.PM

Abstract

Acute upper gastrointestinal bleeding is a common medical emergency which carries hospital mortality in excess of 10%. The most important causes are peptic ulcer and varices. Varices are treated by endoscopic band ligation or injection sclerotherapy and management of the underlying liver disease. Ulcers with major stigmata are treated by injection with dilute adrenaline, thrombin, or fibrin glue; application of heat using the heater probe, multipolar electrocoagulation, or Argon plasma coagulation; or endoclips. Intravenous omeprazole reduces the risk of re-bleeding in ulcer patients undergoing endoscopic therapy. Repeat endoscopic therapy or operative surgery are required if bleeding recurs.

Authors+Show Affiliations

Department of Gastroenterology, Western General Hospital, Edinburgh EH4 2XU, UK. kpalmer@golf5063.freeserve.co.uk

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

15254304

Citation

Palmer, K. "Management of Haematemesis and Melaena." Postgraduate Medical Journal, vol. 80, no. 945, 2004, pp. 399-404.
Palmer K. Management of haematemesis and melaena. Postgrad Med J. 2004;80(945):399-404.
Palmer, K. (2004). Management of haematemesis and melaena. Postgraduate Medical Journal, 80(945), 399-404.
Palmer K. Management of Haematemesis and Melaena. Postgrad Med J. 2004;80(945):399-404. PubMed PMID: 15254304.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Management of haematemesis and melaena. A1 - Palmer,K, PY - 2004/7/16/pubmed PY - 2004/10/16/medline PY - 2004/7/16/entrez SP - 399 EP - 404 JF - Postgraduate medical journal JO - Postgrad Med J VL - 80 IS - 945 N2 - Acute upper gastrointestinal bleeding is a common medical emergency which carries hospital mortality in excess of 10%. The most important causes are peptic ulcer and varices. Varices are treated by endoscopic band ligation or injection sclerotherapy and management of the underlying liver disease. Ulcers with major stigmata are treated by injection with dilute adrenaline, thrombin, or fibrin glue; application of heat using the heater probe, multipolar electrocoagulation, or Argon plasma coagulation; or endoclips. Intravenous omeprazole reduces the risk of re-bleeding in ulcer patients undergoing endoscopic therapy. Repeat endoscopic therapy or operative surgery are required if bleeding recurs. SN - 0032-5473 UR - https://www.unboundmedicine.com/medline/citation/15254304/Management_of_haematemesis_and_melaena_ L2 - https://pmj.bmj.com/lookup/pmidlookup?view=long&pmid=15254304 DB - PRIME DP - Unbound Medicine ER -