ADVANCES IN EMERGENCY TREATMENT FOR UPPER DIGESTIVE BLEEDINGS: A REVIEW OF RECENT DEVELOPMENTS

• DOI: https://doi.org/10.22533/at.ed.1594612427065

• Palavras-chave: High digestive bleeding, endoscopic treatment, emergency interventions.

• Keywords: High digestive bleeding, endoscopic treatment, emergency interventions.

• Abstract:

  Goal: This study aims to analyze recent advances in the treatment of upper gastrointestinal bleeding (UDB) in emergency settings, focusing on efficacy, safety and impact on clinical outcomes. Methodology: A literature review was carried out in the PubMed database, using the terms "Upper gastrointestinal bleeding", "Emergency treatment", and "Advancements". After rigorous application of the inclusion and exclusion criteria, 1 were selected3articles published between 2019 and 2024. Review: The review highlighted the relevance of immediate endoscopic interventions and introduced innovative techniques such as the use of Hemospray and 'Over the Scope Clips' (OTSC) for effective control of bleeding. The importance of differentiating between variceal and non-variceal bleeding and of appropriately managing pre-endoscopic anticoagulation was highlighted. Conclusion: Advances in endoscopic and pharmacological techniques have significantly improved the treatment of UGIB. The necessity of agile and precise interventions, particularly in patients with multiple comorbidities, remains a significant challenge. The training and experience of healthcare professionals are crucial to improving clinical outcomes.