Risk Strategy in Non-Variceal Upper Gastrointestinal Bleeding

Kim, Joon Sung; Kim, Byung Wook

doi:2016.16.4.173

Korean J Helicobacter Up Gastrointest Res > Volume 16(4); 2016 > Article

Review

The Korean Journal of Helicobacter and Upper Gastrointestinal Research 2016;16(4):173-177.
DOI: https://doi.org/10.7704/kjhugr.2016.16.4.173 Published online December 10, 2016.

Risk Strategy in Non-Variceal Upper Gastrointestinal Bleeding

Joon Sung Kim, Byung Wook Kim

Division of Gastroenterology, Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea. gastro@catholic.ac.kr

비정맥류성 상부위장관 출혈 환자의 위험도 평가 방법

김준성, 김병욱

가톨릭대학교 의과대학 인천성모병원 소화기내과

Received: 5 October 2016 • Accepted: 17 November 2016

Abstract

Nonvariceal upper gastrointestinal bleeding (NVUGIB) is one of the most common medical emergencies treated by gastroenterologists. Despite recent development of endoscopic techniques and acid-suppressive therapies, NVUGIB is still associated with high mortality rates. Risk assessment in NVUGIB is important for building therapeutic plans and discriminating patients with low risks. Previously developed scoring systems were rarely used by clinicians due to their complexity. Recently, new scoring systems have been introduced to overcome these disadvantages. Herein, we review the articles describing the various scoring systems. Recent data regarding the comparison of each scoring system are also discussed.

Key Words: Gastrointestinal hemorrhage; Endoscopy; Risk assessment