Skip to main content
Log in

Hémorragies digestives hautes : qui traiter en ambulatoire ?

Upper gastrointestinal haemorrhage: is outpatient treatment a suitable option?

  • Formation Médicale Continue / Continuing Medical Education
  • Published:
Acta Endoscopica

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Références

  1. Sung JJ, Tsoi KK, Ma TK, Yung MY, Lau JY, Chiu PW. Causes of mortality in patients with peptic ulcer bleeding: a prospective cohort study of 10,428 cases. Am J Gastroenterol 2010;105:84–89.

    Article  PubMed  Google Scholar 

  2. Gralnek IM, Barkun AN, Bardou M. Management of acute bleeding from a peptic ulcer. N Engl J Med 2010;359:928–937.

    Article  Google Scholar 

  3. Lai KC, Hui WM, Wong BC, Ching CK, Lam SK. A retrospective and prospective study on the safety of discharging selected patients with duodenal ulcer bleeding on the same day as endoscopy. Gastrointest Endosc 1997;45:26–30.

    Article  CAS  PubMed  Google Scholar 

  4. Lesur G, Artru P, Mitry E. Hémorragies digestives ulcéreuses: histoire naturelle et place de l’hémostase endoscopique. Gastroenterol Clin Biol 2000;24:656–666.

    CAS  PubMed  Google Scholar 

  5. Brullet E, Campo R, Calvet X, Gueli M, Garcia-Monforte N, Cabrol J. A randomized study of the safety of oupatient care for patients with bleeding peptic ulcer treated by endoscopic injection. Gastrointest Endosc 2004;60:15–21.

    Article  PubMed  Google Scholar 

  6. Cipolletta L, Bianco MA, Rotondano G, Marmo R, Piscopo R. Outpatient management for low-risk nonvariceal upper GI bleeding: a randomized controlled trial. Gastrointest Endosc 2002;55:1–5.

    Article  PubMed  Google Scholar 

  7. Almela P, Benages A, Peiró S, Minguez M, Peña A, Pascual I, et al. Outpatient management of upper digestive hemorrhage not associated with portal hypertension: a large prospective cohort. Am J Gastroenterol 2001;96:2341–2348.

    Article  CAS  PubMed  Google Scholar 

  8. Gisbert JP, Legido J, Castel I, Trapero M, Cantero J, Maté J, et al. Risk assessment and outpatient management in bleeding peptic ulcer. J Clin Gastroenterol 2006;40:129–134.

    Article  PubMed  Google Scholar 

  9. Cooper GS, Kou TD, Wong RC. Outpatient management of nonvariceal upper gastrointestinal hemorrhage: unexpected mortality in medicare beneficiaries. Gastroenterology 2009;136:108–114.

    Article  PubMed  Google Scholar 

  10. Barkun AN, Bardou M, Kuipers EJ, Sung J, Hunt RH, Martel M, Sinclair P. International consensus recommandations on the management of patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med 2010;152:101–113.

    Article  PubMed  Google Scholar 

  11. Laine L, Jensen DM. Management of patients with ulcer bleeding. Am J Gastroenterol 2012;107:345–360.

    Article  CAS  PubMed  Google Scholar 

  12. Hwang JH, Fisher DA, Ben-Menachem T, Chandrasekhara V, Chathadi K, Decker GA, et al. The role of endoscopy in the management of acute non-variceal upper GI bleeding. Gastrointest Endosc 2012;75:1132–1138.

    Article  PubMed  Google Scholar 

  13. Garcia-Tsao G, Bosch J. Management of varices and variceal hemorrhage in cirrhosis. N Engl J Med 2010;362:823–832.

    Article  CAS  PubMed  Google Scholar 

  14. de Grott NL, Bosman JH, Siersema PD, van Oijen MG. Prediction scores in gastrointestinal bleeding: a systematic review and quantitative appraisal. Endoscopy 2012;44:731–739.

    Article  Google Scholar 

  15. Lesur G, Bour B, Aegerter P, ANGH. Prise en charge hospitalière des hémorragies digestives ulcéreuses: une enquête nationale de pratique. Gastroenterol Clin Biol 2005;29:140–144.

    Article  PubMed  Google Scholar 

  16. Chen IC, Hung MS, Chiu TF, Chen JC, Hsiao CT. Risk scoring systems to predict need for clinical intervention for patients with non variceal upper gastrointestinal tract bleeding. Am J Emerg Med 2007;25:774–779.

    Article  PubMed  Google Scholar 

  17. Farooq F, Lee MH, Das A, Dixit R, Wong RC. Clinical triage decision vs risk scores in predicting the need for endotherapy in upper gastrointestinal bleeding. Am J Emerg Med 2012;30:129–134.

    Article  PubMed  Google Scholar 

  18. Almela P, Benages A, Peiró S, Añón R, Pérez MM, Peña A, et al. A risk score system for identification of patients with upper GI bleeding suitable for outpatient management. Gastrointest Endosc 2004;59:772–781.

    Article  PubMed  Google Scholar 

  19. Rockall TA, Logan RF, Devlin HB, Northfiled TC. Selection of patients for early discharge or out patient care after acute upper gastrointestinal haemorrhage. Lancet 1996;347:1138–1140.

    Article  CAS  PubMed  Google Scholar 

  20. Tham TC, James C, Kelly M. Predicting outcome of acute nonvariceal upper gastrointestinal haemorrhage without endoscopy using the clinical Rockall score. Postgrad Med J 2006;82:757–789.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  21. Gralnek IM, Dulai GS. Incremental value of upper endoscopy in triage of patients with acute non-variceal upper gastrointestinal hemorrhage. Gastrointest Endosc 2004;60:9–14.

    Article  PubMed  Google Scholar 

  22. Stanley AJ, Ashley D, Dalton HR, Mawat C, Gaya DR, Thompson E, et al. Outpatient management of patients with low-risk upper gastrointestinal haemorrhage: multicentre validation and prospective evaluation. Lancet 2009;373:42–47.

    Article  CAS  PubMed  Google Scholar 

  23. Pang SH, Ching JY, Lau JY, Sung JJ, Graham DY, Chan FK. Comparing the Blatchford and pre-score Rockall score in predicting the need for endoscopic therapy in patients with upper GI hemorrhage. Gastrointest Endosc 2010;71:1134–1140.

    Article  PubMed  Google Scholar 

  24. McLaughlin C, Vine L, Chapman L, Deering P, Whittaker S, Beckly J, et al. The management of low-risk primary upper gastrointestinal haemorrhage in the community: a 5-year observational study. Eur J Hepatol Gastroenterol 2012;24:288–293.

    Article  Google Scholar 

  25. Lee JG, Turnispeed S, Romano PS, Vigil H, Azari R, Melnikoff N, et al. Endoscopy-based triage significantly reduces hospitalization rates and costs of treating upper GI bleeding: a randomized controlled trial. Gastrointest Endosc 1999;50:755–761.

    Article  CAS  PubMed  Google Scholar 

  26. Sung JJ, Chan FK, Chen M, Ching JY, Ho KY, Kachintorn U, et al. Asia-Pacific working Group consensus on non variceal upper GI bleeding. Gut 2011;60:1170–1177.

    Article  PubMed  Google Scholar 

  27. Colle I, Wilmer A, Le Moine O, Debruyne R, Delwaide J, Dhondt E, et al. Upper gastrointestinal tract bleeding management: Belgian guidelines for adults and children. Acta Gastroenterol Belg 2011;74:45–66.

    CAS  PubMed  Google Scholar 

  28. British Society of Gastroenterology Endoscopy Committee. Non variceal upper gastrointestinal haemorrhage: guidelines. Gut 2012;51(Suppl IV):iv1–iv6.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to G. Lesur.

Additional information

Cet article a déjà été publié sous la référence: Lesur G. Post’U FMC-HGE. Springer 2013;257–62.

About this article

Cite this article

Lesur, G. Hémorragies digestives hautes : qui traiter en ambulatoire ?. Acta Endosc 44, 92–97 (2014). https://doi.org/10.1007/s10190-013-0331-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10190-013-0331-3

Navigation