Резюме
Differentials
Common
- Úlcera péptica (UP)
- Varizes esofágicas
- Esofagite
- Laceração de Mallory-Weiss
Uncommon
- Síndrome de Boerhaave (perfuração espontânea do esôfago)
- Varizes gástricas
- Malformações arteriovenosas (MAVs)
- Lesões de Dieulafoy
- Tumores do trato gastrointestinal superior
- Fístula aortoentérica (FAE)
- Coagulopatia
Contributors
Authors
Douglas G. Adler, MD, FACG, AGAF, FASGE
Professor of Medicine
Director, Center for Advanced Therapeutic Endoscopy (CATE)
Porter Adventist Hospital
Centura Health
Denver
CO
Disclosures
DGA declares that he has no competing interests.
Acknowledgements
Dr Douglas G. Adler would like to gratefully acknowledge the assistance of Dr Patrick D. Martin.
Disclosures
PDM declares that he has no competing interests.
Peer reviewers
Ned Snyder, MD, FACP
Professor of Medicine
Chief of Clinical Gastroenterology and Hepatology
University of Texas Medical Branch
Galveston
TX
Disclosures
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
Disclosures
DJH declares that he has no competing interests.
Giuseppe Malizia, MD
Consultant Gastroenterologist
Divisione di Gastroenterologia
Ospedale V. Cervello
Palermo
Italy
Disclosures
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.
References
Key articles
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.Full text Abstract
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.Full text Abstract
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.Full text Abstract
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.Full text Abstract
American College of Radiology. ACR appropriateness criteria®: nonvariceal upper gastrointestinal bleeding. 2024 [internet publication].Full text
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Guidelines
- AASLD practice guidance on risk stratification and management of portal hypertension and varices in cirrhosis
- ACR appropriateness criteria: nonvariceal upper gastrointestinal bleeding
More GuidelinesPatient information
Refluxo gastroesofágico, pirose e doença do refluxo gastroesofágico (DRGE)
Doença do refluxo gastroesofágico (DRGE): perguntas para fazer ao seu médico
More Patient informationCalculators
Escore de Rockall para hemorragia digestiva alta
Escore de Blatchford para sangramento gastrointestinal
More CalculatorsVideos
Venopunção e flebotomia – Vídeo de demonstração
More videosLog in or subscribe to access all of BMJ Best Practice
Use of this content is subject to our disclaimer