Debates

This is half of a two-part debate — read the opposing argument. Recurrent bleeding, along with advanced age and medical co-morbidities, is an independent predictor of mortality in patients with upper gastrointestinal (GI) hemorrhage. Although we as endoscopists cannot alter the patient’s age or their comorbidities, we may be able to reduce the risk of […]

Debates

This is half of a two-part debate — read the opposing argument. Why use Doppler endoscopic probe (DEP) in the management of severe non-variceal gastrointestinal hemorrhage (NVUGIH)? The fundamental reason is that DEP gives endoscopists a new dimension to help them treat patients: the ability to monitor arterial blood flow underneath stigmata of recent hemorrhage […]

Quick Hits

In the hospital setting, upper gastrointestinal (GI) bleeding remains the most common reason for consulting a gastroenterologist. The care of patients with upper GI bleeding has recently changed, including the approach to initial management, timing of endoscopy, use of blood products, and available techniques for endoscopic therapy. I am going to provide an overview of […]

Quick Hits

My goals in this article are to give you my current recommendations on how you should risk stratify and treat patients with peptic ulcer bleeding (PUB) and other types of non-variceal upper GI hemorrhage (NVUGIH), based upon recent studies performed by me and my research group, the CURE Hemostasis Research Group. For more than four […]