The critical care management of nonvariceal upper gastrointestinal bleeding

A. G. Kankaria, D. E. Fleischer

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Upper gastrointestinal hemorrhage, although accounting for more than 300,000 annual hospital admissions in the United States, continued to have about a 10% mortality rate over the past 50 years. Whether this is secondary to the increasing age of patients admitted with UGI hemorrhage, and their comorbid diseases, is unknown. The major approach to these patients includes volume and cardiovascular resuscitation, as well as surgical and gastroenterology consultation. Both clinical signs and endoscopic features in patients aid in predicting those at high risk of either rebleeding or dying, allowing for more aggressive steps, including endoscopic therapy of the bleeding site and surgery. Improved intensive care measures and endoscopic therapies for these patients may account for the signs of a recent decline in this mortality rate during the past 10 years.

Original languageEnglish (US)
Pages (from-to)347-368
Number of pages22
JournalCritical Care Clinics
Volume11
Issue number2
StatePublished - 1995
Externally publishedYes

Fingerprint

Critical Care
Hemorrhage
Gastrointestinal Hemorrhage
Mortality
Gastroenterology
Resuscitation
Referral and Consultation
Therapeutics

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Kankaria, A. G., & Fleischer, D. E. (1995). The critical care management of nonvariceal upper gastrointestinal bleeding. Critical Care Clinics, 11(2), 347-368.

The critical care management of nonvariceal upper gastrointestinal bleeding. / Kankaria, A. G.; Fleischer, D. E.

In: Critical Care Clinics, Vol. 11, No. 2, 1995, p. 347-368.

Research output: Contribution to journalArticle

Kankaria, AG & Fleischer, DE 1995, 'The critical care management of nonvariceal upper gastrointestinal bleeding', Critical Care Clinics, vol. 11, no. 2, pp. 347-368.
Kankaria, A. G. ; Fleischer, D. E. / The critical care management of nonvariceal upper gastrointestinal bleeding. In: Critical Care Clinics. 1995 ; Vol. 11, No. 2. pp. 347-368.
@article{9ce1d7b2f8e5454c841c24c86e734ecd,
title = "The critical care management of nonvariceal upper gastrointestinal bleeding",
abstract = "Upper gastrointestinal hemorrhage, although accounting for more than 300,000 annual hospital admissions in the United States, continued to have about a 10{\%} mortality rate over the past 50 years. Whether this is secondary to the increasing age of patients admitted with UGI hemorrhage, and their comorbid diseases, is unknown. The major approach to these patients includes volume and cardiovascular resuscitation, as well as surgical and gastroenterology consultation. Both clinical signs and endoscopic features in patients aid in predicting those at high risk of either rebleeding or dying, allowing for more aggressive steps, including endoscopic therapy of the bleeding site and surgery. Improved intensive care measures and endoscopic therapies for these patients may account for the signs of a recent decline in this mortality rate during the past 10 years.",
author = "Kankaria, {A. G.} and Fleischer, {D. E.}",
year = "1995",
language = "English (US)",
volume = "11",
pages = "347--368",
journal = "Critical Care Clinics",
issn = "0749-0704",
publisher = "W.B. Saunders Ltd",
number = "2",

}

TY - JOUR

T1 - The critical care management of nonvariceal upper gastrointestinal bleeding

AU - Kankaria, A. G.

AU - Fleischer, D. E.

PY - 1995

Y1 - 1995

N2 - Upper gastrointestinal hemorrhage, although accounting for more than 300,000 annual hospital admissions in the United States, continued to have about a 10% mortality rate over the past 50 years. Whether this is secondary to the increasing age of patients admitted with UGI hemorrhage, and their comorbid diseases, is unknown. The major approach to these patients includes volume and cardiovascular resuscitation, as well as surgical and gastroenterology consultation. Both clinical signs and endoscopic features in patients aid in predicting those at high risk of either rebleeding or dying, allowing for more aggressive steps, including endoscopic therapy of the bleeding site and surgery. Improved intensive care measures and endoscopic therapies for these patients may account for the signs of a recent decline in this mortality rate during the past 10 years.

AB - Upper gastrointestinal hemorrhage, although accounting for more than 300,000 annual hospital admissions in the United States, continued to have about a 10% mortality rate over the past 50 years. Whether this is secondary to the increasing age of patients admitted with UGI hemorrhage, and their comorbid diseases, is unknown. The major approach to these patients includes volume and cardiovascular resuscitation, as well as surgical and gastroenterology consultation. Both clinical signs and endoscopic features in patients aid in predicting those at high risk of either rebleeding or dying, allowing for more aggressive steps, including endoscopic therapy of the bleeding site and surgery. Improved intensive care measures and endoscopic therapies for these patients may account for the signs of a recent decline in this mortality rate during the past 10 years.

UR - http://www.scopus.com/inward/record.url?scp=0028966293&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028966293&partnerID=8YFLogxK

M3 - Article

C2 - 7788536

AN - SCOPUS:0028966293

VL - 11

SP - 347

EP - 368

JO - Critical Care Clinics

JF - Critical Care Clinics

SN - 0749-0704

IS - 2

ER -