Therapeutic endoscopy for nonvariceal gastrointestinal bleeding

Gastroenterol Clin North Am. 2000 Jun;29(2):465-87, vii. doi: 10.1016/s0889-8553(05)70123-0.


This article reviews the role of therapeutic endoscopy in the diagnosis and treatment of nonvariceal upper and lower gastrointestinal (GI) hemorrhage. The initial approach to patients with GI bleeding is reviewed. Endoscopic treatment of various stigmata of recent peptic ulcer hemorrhage is discussed in detail. Management of less common causes of nonvariceal bleeding, such as Dieulafoy's lesions, Mallory-Weiss tears, angiomas, and bleeding colonic diverticula is described. Recommendations for endoscopic techniques are based on the results of UCLA-CURE hemostasis studies.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Endoscopy, Gastrointestinal*
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / therapy*
  • Gastrointestinal Neoplasms / complications
  • Hemostasis, Endoscopic / methods*
  • Humans
  • Intestinal Diseases / complications
  • Peptic Ulcer / complications
  • Treatment Outcome