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Acute endoscopic intervention in non-variceal upper gastrointestinal bleeding

Correspondence to:
Correspondence to:
Dr R P Arasaradnam
Department of Gastroenterology, Northern General Hospital, Sheffield Teaching Hospitals, Sheffield S5 7AU, UK; ramesh.arasaradnam{at}sth.nhs.uk

Upper gastrointestinal bleeding is one of the commonest emergencies encountered by general physicians. Once haemodynamic stability has been achieved, therapeutic endoscopy is vital in control and arrest of bleeding. Various methods are available and the evidence is reviewed as to the most optimal approach. Clinical parameters including timing of endoscopy, risk stratification, and predictors of failure will also be discussed together with a summary of recommendations based on current available evidence.

Abbreviations: UGIB, upper gastrointestinal bleeding; SRH, stigmata of recent haemorrhage; APC, argon plasma coagulation; BiPEC, bipolar electrocoagulation; PPI, proton pump inhibitor

Keywords: bleeding; endoscopy