Upper GI bleeding ⭐

upper-gi-bleeding · society: ACG · high-yield

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Summary

ACG 2021 guideline on management of overt upper GI bleeding, focused on initial resuscitation, risk stratification, pre-endoscopic management, endoscopic hemostasis for ulcer bleeding, and post-endoscopic antisecretory therapy. Updates from the 2012 guideline include expanded discharge criteria (GBS ≤1 instead of 0), inclusion of intermittent high-dose PPI regimens, new endoscopic modalities (TC-325, over-the-scope clips, APC, soft monopolar electrocoagulation), addition of twice-daily oral PPI through day 14 in high-risk patients, and a preference for transcatheter arterial embolization over surgery when endoscopy fails.

Current guideline: ACG 2021 Upper GI/Ulcer Bleeding Guideline · download Anki sub-deck

Versions

• 2021 · ACG — ACG 2021 Upper GI/Ulcer Bleeding Guideline
  • Read the guideline: html · Anki deck