NON-VARICEAL UPPER GASTROINTESTINAL BLEEDING RECENT GUIDELINES, RISK STRATIFICATION AND PARADIGMS

Abstract

Despite recent advances in the treatment of upper gastrointestinal bleeding (UGI) lesions, mortality and morbidity have remained high. The introduction of scoring systems and novel endoscopic techniques have improved patients outcomes. Although guidelines for managing UGIB have been developed they have not been implemented ubiquitously. The authors offer a point of view in relation to the management of the non variceal UGIB with emphasis on the risk stratification, paradigms that have suffered changes or have been revalidated over the years, newly introduced pharmacological agents and timing of endoscopy.