Fedir V Grynchuk*

Professor, Department of Surgery № 1, Bukovynian State Medical University, Chernivtsi, Ukraine

*Corresponding Author: Fedir V Grynchuk, Department of Surgery № 1, Bukovynian State Medical University, Chernivtsi, Ukraine.

Received: September 20, 2021; Published: October 01, 2021

  Peptic ulcer bleedings are the main cause of non-variceal upper gastrointestinal bleeding [1-5]. The morbidity in patients with bleeding peptic ulcers reaches 8 - 10% and increases when recurrent bleeding occurs [1-4]. The imperfection of prognostic scales is one of the reasons for high morbidity. The most common scales are Rockall, Glasgow Blatchford, Baylor, Cedars-Sinai, AIMS65, PNED. However, according to some authors, more accurate scales are needed, and this is why they suggest using additional predictive criteria [6]. A common flaw of the known scales is that they are based exceptionally on clinical criteria and do not take into account the mechanisms of bleeding development.

References

1. Tarasconi A., et al. “Perforated and bleeding peptic ulcer: WSES guidelines”. World Journal of Emergency Surgery15 (2020): 3.
2. Barkun A.N., et al. “Management of Nonvariceal Upper Gastrointestinal Bleeding: Guideline Recommendations From the International Consensus Group”. Annals of Internal Medicine11. (2019): 805-822.
3. Nagashima K., et al. “Recent trends in the occurrence of bleeding gastric and duodenal ulcers under the Japanese evidence-based clinical practice guideline for peptic ulcer disease”. Journal of Gastroenterology and Hepatology Open6 (2018): 255-261.
4. Karstensen J.G., et al. “Nonvariceal upper gastrointestinal hemorrhage: European Society of Gastrointestinal Endoscopy (ESGE) Cascade Guideline”. Endoscopy International Open10 (2018): E1256-263.
5. Fujishiro M., et al. “Guidelines for endoscopic management of non-variceal upper gastrointestinal bleeding”. Digestive Endoscopy4 (2016): 363-378.
6. Brullet E., et al. “Endoscopist’s Judgment Is as Useful as Risk Scores for Predicting Outcome in Peptic Ulcer Bleeding: A Multicenter Study”. Journal of Clinical Medicine2 (2020): 408.
7. Grynchuk FV and Dutka ІІ. “Scale for predicting the risk of recurrent ulcerative bleeding”. Art of Medicine14 (2020): 42-47.
8. Grynchuk FV., et al. “Justification of the method for assessing the reliability of hemostasis in patients with ulcerative bleeding”. Clinical and Experimental Pathology171 (2020): 58-63.

Citation

Citation: Fedir V Grynchuk. “Current Problems of Acute Ulcerative Hemorrhage and Prospects for their Overcoming”. Acta Scientific Gastrointestinal Disorders 4.11 (2021): 01-02.

Copyright

Copyright: © 2021 Fedir V Grynchuk. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.