Evaluation of upper gastrointestinal bleed

Última revisión: 16 Aug 2025
Última actualización: 17 Jul 2024

Resumen

Diferenciales

Común

  • Peptic ulcer disease (PUD)
  • Esophageal varices
  • Esophagitis
  • Mallory-Weiss tear
Todos los datos

Infrecuente

  • Boerhaave syndrome (spontaneous esophageal perforation)
  • Gastric varices
  • Arteriovenous malformations (AVMs)
  • Dieulafoy lesions
  • Upper GI tumors
  • Aortoenteric fistulae (AEF)
  • Coagulopathy
Todos los datos

Colaboradores

Autores

Douglas G. Adler, MD, FACG, AGAF, FASGE

Professor of Medicine

Director, Center for Advanced Therapeutic Endoscopy (CATE)

Porter Adventist Hospital

Centura Health

Denver

CO

Divulgaciones

DGA declares that he has no competing interests.

Agradecimientos

Dr Douglas G. Adler would like to gratefully acknowledge the assistance of Dr Patrick D. Martin.

Divulgaciones

PDM declares that he has no competing interests.

Revisores por pares

Ned Snyder, MD, FACP

Professor of Medicine

Chief of Clinical Gastroenterology and Hepatology

University of Texas Medical Branch

Galveston

TX

Divulgaciones

NS declares that he has no competing interests.

David J. Hackam, MD, PhD

Associate Professor of Pediatric Surgery

University of Pittsburgh School of Medicine

Pittsburgh

PA

Divulgaciones

DJH declares that he has no competing interests.

Giuseppe Malizia, MD

Consultant Gastroenterologist

Divisione di Gastroenterologia

Ospedale V. Cervello

Palermo

Italy

Divulgaciones

GM declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

Hwang JH, Fisher DA, Ben-Menachem T, et al. The role of endoscopy in the management of acute non-variceal upper GI bleeding. Gastrointest Endosc. 2012 Jun;75(6):1132-8.Texto completo  Resumen

Barkun AN, Almadi M, Kuipers EJ, et al. Management of nonvariceal upper gastrointestinal bleeding: guideline recommendations from the International Consensus Group. Ann Intern Med. 2019 Dec 3;171(11):805-22.Texto completo  Resumen

Gralnek IM, Stanley AJ, Morris AJ, et al. Endoscopic diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH): European Society of Gastrointestinal Endoscopy (ESGE) guideline - update 2021. Endoscopy. 2021 Mar;53(3):300-32.Texto completo  Resumen

Laine L, Barkun AN, Saltzman JR, et al. ACG clinical guideline: upper gastrointestinal and ulcer bleeding. Am J Gastroenterol. 2021 May 1;116(5):899-917.Texto completo  Resumen

American College of Radiology. ACR appropriateness criteria®: nonvariceal upper gastrointestinal bleeding. 2024 [internet publication].Texto completo

Artículos de referencia

Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
  • Evaluation of upper gastrointestinal bleed images
  • Folletos para el paciente

    GERD: questions to ask your doctor

    Peptic ulcers

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  • Calculadoras

    Rockall Score for Upper Gastrointestinal Bleeding

    Blatchford score for gastrointestinal bleeding

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