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L'endoscopia nell'urgenza emorragica - EndoscopiaDigestiva.it

L'endoscopia nell'urgenza emorragica - EndoscopiaDigestiva.it

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L’endoscopia nell’urgenza <strong>emorragica</strong>&dir<strong>it</strong>tidoverimente i risultati. Tale gestione è certamente essenzialeper le emorragie più severe ed inoltrepuò contribuire significativamente alla cresc<strong>it</strong>acomplessiva culturale ed organizzativa in questoamb<strong>it</strong>o e probabilmente anche ad ottenereper la patologia <strong>emorragica</strong> acuta un più adeguatoriconoscimento del suo rilievo un<strong>it</strong>amentead investimenti più adeguati in terminidi strutture, personale e di apparecchiature.BIBLIOGRAFIA1. American Society for Gastrointestinal Endoscopy.Preparation of patients for GI endoscopy.Gastrointest Endosc 2003;57:446-502. Biorkman DJ. Endoscopic triage for nonvaricealupper gastrointestinal bleeding: theoptimal approach in 2001? 2001; 9: 1; 1-43. Blatchford O, Murray WR, Blatchford M. A.risk score to predict need for treatment forupper gastrointestinal haemorrahage. Lancet2000 Oct 14;356(9238):1318-214. Dulai GS, Gralnek JM, Oei TT, et al. Utilizationof health care resources for low-riskpatients w<strong>it</strong>h acute, non variceal haemorrhage:an historical cohort study. GastrointestEndosc 2002 Mar; 55(3): 321-75. Garripoli A, Mondardini A, Turco D, Martinoglio,Secreto P, Ferrari A. Hosp<strong>it</strong>alizationfor peptic ulcer bleeding: evaluation of a riskscoring system in clinical practice. DigestLiver Dis 2000;32:577-826. Gostout CJ. Acute Gastrointestinal Bleeding.What are the issues the new milleniumresolve? Gastroint Endosc Clin n Am2000; 1: 89-997. Hay JA, Lyubashevsky E, Elashoff J,MaldonadoL, et al. Upper Gastrointestinal hemorrhageclinical guidelines determiningthe optimal hosp<strong>it</strong>al length of stay. Am JMed 1996;100 (3):313-228. Inayet N, Amoateng-Adjepong Y, UpadyaA, Manthous CA. Risks for developing cr<strong>it</strong>icalillness w<strong>it</strong>h GI hemorrhage, Chest.2000 Aug;118(2):473-89. Longstreth GF, Epidemiology of hosp<strong>it</strong>alizationfor acute upper gastrointestinal hemorrhage:a population-based study. Am JGastroenterol. 1995 Feb;90(2):206-10.10. Rockall TA, Logan RF, Devlin HB el al. Selectionof patients for early discharge ofoutpatient care after acute gastrointestinalhaemorrhage. Lancet 1996; 347:1138-4011. Saeed ZA, Winchester CB, Michaletz PA, et al.A scoring system to predict rebleeding afterendoscopic therapy of nonvariceal upper gastrointestinalhaemorrhage, wh<strong>it</strong>h a comparisonof heather probe and ethanol injection.Am J Gastroenterol 1993; 88(11): 1842-927

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