Journal
GUT
Volume 70, Issue 5, Pages 818-824Publisher
BMJ PUBLISHING GROUP
DOI: 10.1136/gutjnl-2020-323846
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Personalized management strategies should be based on patient characteristics, nature of bleeding lesions, and clinical setting, including available resources.
Guidelines from national and international professional societies on upper gastrointestinal bleeding highlight the important clinical issues but do not always identify specific management strategies pertaining to individual patients. Optimal treatment should consider the personal needs of an individual patient and the pertinent resources and experience available at the point of care. This article integrates international guidelines and consensus into three stages of management: pre-endoscopic assessment and treatment, endoscopic evaluation and haemostasis and postendoscopic management. We emphasise the need for personalised management strategies based on patient characteristics, nature of bleeding lesions and the clinical setting including available resources.
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