Therapie der oberen gastrointestinalen Blutung
A Schmidt, K Caca · DMW - Deutsche Medizinische Wochenschrift · 2010 · Heft 09 · S. 399-408
Bibliografische Angaben
Zusammenfassung
Abstract The management of upper non-variceal and variceal hemorrhage differs substantially. Most common cause auf upper gastrointestinal (GI) hemorrhage are gastroduodenal ulcers. Administration of proton pump inhibitors (PPI) and endoscopic hemostasis are crucial in the treatment of non-variceal bleeding. In case of Helicobacter pylori infection eradication therapy should be undertaken and nonsteroid anti-inflammatory drugs (NSAID) discontinued. Early administration of vasoactive drugs and antibiotics significantly reduces mortality from variceal hemorrhage. Endoscopic hemostasis is achieved with rubber-band l…