Endoscopic Management of Bleeding in Altered Anatomy after Upper Gastrointestinal Surgery

Postoperative non variceal upper gastrointestinal haemorrhage may occur early or late and affect a variable percentage of patients—up to about 2%. Most cases of intraluminal bleeding are an indication for urgent Esophagogastroduodenoscopy (EGD) and require endoscopic haemostatic treatment. In additi...

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Bibliographic Details
Published in:Medicina (Kaunas, Lithuania) Lithuania), 2023-11, Vol.59 (11), p.1941
Main Authors: Gibiino, Giulia, Binda, Cecilia, Secco, Matteo, Giuffrida, Paolo, Coluccio, Chiara, Perini, Barbara, Fabbri, Stefano, Liverani, Elisa, Jung, Carlo Felix Maria, Fabbri, Carlo
Format: Article
Language:English
Subjects:
altered anatomy
anastomotic bleeding
bariatric surgery
endoscopic therapy
Endoscopy
Gastric cancer
Gastrointestinal surgery
Hemoglobin
Hemorrhage
Hospital costs
marginal ulcers
Mortality
non-variceal upper gastrointestinal haemorrhage (NVUGIH)
Obesity
Pancreaticoduodenectomy
Surgery
Ulcers
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Summary:Postoperative non variceal upper gastrointestinal haemorrhage may occur early or late and affect a variable percentage of patients—up to about 2%. Most cases of intraluminal bleeding are an indication for urgent Esophagogastroduodenoscopy (EGD) and require endoscopic haemostatic treatment. In addition to the approach usually adopted in non-variceal upper haemorrhages, these cases may be burdened with difficulties in terms of anastomotic tissue, angled positions, and the risk of further complications. There is also extreme variability related to the type of surgery performed, in the context of oncological disease or bariatric surgery. At the same time, the world of haemostatic devices available in digestive endoscopy is increasing, meeting high efficacy rates and attempting to treat even the most complex cases. Our narrative review summarises the current evidence in terms of different approaches to endoscopic haemostasis in upper bleeding in altered anatomy after surgery, proposing an up-to-date guidance for endoscopic clinicians and at the same time, highlighting areas of future scientific research.
ISSN:1648-9144
1010-660X
1648-9144
DOI:10.3390/medicina59111941