Women Teaching Women: Retooling Your Clinical Toolbox

04 - Law

Pdf Summary

The document discusses the latest advancements and techniques in the field of gastrointestinal (GI) bleeding in 2023. It covers various topics such as risk stratification in patients with non-variceal upper GI bleeding (NVUGIB), new approaches in endoscopic therapy, management of GI bleeding in special situations, and the use of oral anticoagulants and antiplatelet therapy.<br /><br />The document emphasizes the importance of risk stratification in determining the appropriate management approach for NVUGIB. Different scoring systems such as the Rockall Score, Glasgow-Blatchford score, and AIMS-65 score are mentioned to assess the risk of rebleeding and mortality. Depending on the risk category, patients may be considered for outpatient management or more aggressive interventions.<br /><br />Therapeutic interventions for GI bleeding are discussed, including thermal therapy, mechanical clips, and hemostatic sprays. New techniques like over-the-scope clips and hemostatic powders are also mentioned as potential options, especially in cases where conventional methods have failed.<br /><br />The document highlights the challenges and considerations in managing GI bleeding in special situations such as patients on oral anticoagulants, antiplatelet therapy, and tumoral bleeding. The increased risk of GI bleeding associated with anticoagulant therapy and the management strategies for these patients are discussed. Additionally, the document mentions the use of hemostatic sprays as a first-line treatment for tumoral bleeding.<br /><br />In summary, the document emphasizes the importance of risk stratification and reviews the latest advancements and techniques in the management of GI bleeding. It provides insights into the use of different therapies and interventions, particularly in special situations like anticoagulant therapy and tumoral bleeding.

Keywords

GI bleeding

2023

risk stratification

endoscopic therapy

oral anticoagulants

antiplatelet therapy

Rockall Score

Glasgow-Blatchford score

AIMS-65 score

tumoral bleeding