Indications of Emergency Endoscopy

Opriță, Ruxandra; BERCEANU, Daniel

doi:10.31688/abmu.2018.53.2.22

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…Also, corticosteroids could have prothrombotic effects (KRISTENSEN & al [36]). It should be taken into account that this therapy can complicate the evolution of patients with neoplastic associated disease (POIANA & al [62]; OPRITA & al [63]).…”

Section: Therapeutical Agents Used In Ibd and The Cardiovascular Riskmentioning

confidence: 99%

Cardiovascular risk in patients with inflamma-tory bowel diseases: a review

Manea¹,

Marcu²,

Motofei³

et al. 2019

Rom Biotechnol Lett.

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Patients with inflammatory bowel diseases (IBD) have an increased risk of cardiovascular events (myocardial infarction, cerebrovascular events and death of cardiovascular causes), because of some common pathophysiological mechanisms. Patients with IBD have high levels of cytokines, C-reactive protein and homocysteine, leading to endothelial dysfunction and atherosclerosis. Also, the increased levels of coagulation factors in patients with IBD lead to an increased risk for thromboembolic events. There are numerous studies that sustain the link between IBD and cardiovascular complications.

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Section: Therapeutical Agents Used In Ibd and The Cardiovascular Riskmentioning

confidence: 99%

Cardiovascular risk in patients with inflamma-tory bowel diseases: a review

Manea¹,

Marcu²,

Motofei³

et al. 2019

Rom Biotechnol Lett.

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Endoscopy Services for Acute Gastrointestinal Bleeding in Low- And Middle-Income Countries: Challenges and Solutions

Tariq

Jamil

Tahir

et al. 2022

Arq. Gastroenterol.

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Dear editor,Acute gastrointestinal bleeding (AGIB) is a hospital emergency with a 5-10% mortality rate. The incidence rates for upper gastrointestinal bleed (UGIB) and lower gastrointestinal bleeding (LGIB) are 67 and 36 per 100,000, respectively. The patient present with hematemesis, melena, hematochezia, or syncope (1,2) . The leading causes of UGIB are peptic ulcer disease (55%), esophageal varices (16.7%), inflammation (9.75%), Mallory Weiss tears (7.6%), angiodysplasia (6%), and neoplasm (3.45%) (3) . Common causes for the LGIB are diverticular disease (28.5%), angiodysplasia (15%), colitis (16%), polypectomy (12.5%), anorectal diseases (7%) and small bowel bleeding (5.5%) (3) .With advances in medical science, treatment protocols for AGIB have advanced from pharmacological treatment to endoscopic intervention. Endoscopic intervention includes epinephrine injection, thermal coagulation, sclerotherapy, or clip application. Endoscopic management and band ligation are the gold standards for treating AGIB, having 90% effectiveness in stopping the bleeding (4) . Endoscopy has replaced several open medical and surgical procedures.Early emergency endoscopy is defined as the intervention carried out within 24 hours of patient presentation with GIB. This timely intervention ultimately reduces morbidity and mortality by securing early hemostasis and shortening hospital stays (5) . In peptic ulcer disease, the risk of rebleeding with medical therapy alone is 80-90% which can be reduced to 10% with modern combination endoscopic therapy (6) . Endoscopy may also help with the early diagnosis of the malignancies.The inequitable distribution of resources on a global scale extends to medical services. High-income countries have welldeveloped endoscopic facilities, even at the primary health care level (7) . The global consensus for the minimum requirement for an endoscopy unit is the availability of endoscopic light sources, standard monitors, flexible endoscopes, electrosurgical equipment, and at least two gastroscopes and two colonoscopies (8) . Low-and

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Indications of Emergency Endoscopy

Cited by 2 publications

References 10 publications

Cardiovascular risk in patients with inflamma-tory bowel diseases: a review

Cardiovascular risk in patients with inflamma-tory bowel diseases: a review

Endoscopy Services for Acute Gastrointestinal Bleeding in Low- And Middle-Income Countries: Challenges and Solutions

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