Gyökeres, Tibor Zoltán and Schäfer, Eszter and Szepes, Attila and Vitális, Zsuzsanna and Papp, Mária and Altorjay, István and Czakó, László and Vincze, Áron and Bursics, Attila and Kanizsai, Péter László and Berényi, Tamás (2020) Heveny gastrointestinalis vérzések ellátása = Management of acute gastrointestinal bleeding. ORVOSI HETILAP, 161 (30). pp. 1231-1242. ISSN 0030-6002
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Abstract
Gastrointestinal bleeding has a profound impact on public health due to its high prevalence and severity. With the elderly population taking more anticoagulants/antiaggregants/non-steroid anti-inflammatory drugs, the digestive bleeding will certainly raise more and more challenges in quantity as well as in severity for the public healthcare system. The emergency medicine specialists and gastroenterologists have a central role in the management of patients presenting with gastrointestinal bleeding. In certain cases, radiologists, invasive radiologists, intensive care specialists and surgeons should also be involved in the decision making process and management of patients. Therefore, Hungarian experts felt the need to elaborate a comprehensive, multidisciplinary, practical local guideline reflecting the frequently arisen aspects based on current international guidelines. This guideline proposal covers topics of basic requirements, initial assessment of patients, risk evaluation, laboratory tests, hemodynamic resuscitation in the case of gastrointestinal bleeding followed by its consecutive steps of diagnosis and therapy sorted by location of the source of the hemorrhage. The authors give practical instructions for unsuccessful hemostasis or rebleeding. Finally, the role of surgery is also summarized in the management of gastrointestinal bleeding. Orv Hetil. 2020; 161(30): 1231-1242.
Item Type: | Article |
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Uncontrolled Keywords: | guideline; gastrointestinal hemorrhage; irányelv; Multidisciplinary; gastrointestinalis vérzés; multidiszciplináris; |
Subjects: | R Medicine / orvostudomány > R1 Medicine (General) / orvostudomány általában |
SWORD Depositor: | MTMT SWORD |
Depositing User: | MTMT SWORD |
Date Deposited: | 10 Oct 2022 11:43 |
Last Modified: | 31 Mar 2023 08:55 |
URI: | http://real.mtak.hu/id/eprint/151408 |
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