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Læknablaðið - dec 2019, Qupperneq 33

Læknablaðið - dec 2019, Qupperneq 33
LÆKNAblaðið 2019/105 569 Y F I R L I T Barst til blaðsins 14. maí 2019, samþykkt til birtingar 14. október 2019. Gastrointestinal bleeding is a common cause for presentation in the emergency room and hospitalization. The bleeding is usually categorized to upper or lower gastrointestinal bleeding. The purpose of this review article is to provide an overview of the incidence of gastrointestinal bleeding, etiology, risk factors, role of antithrombot- ics, evaluation of the severity of bleeding, therapy and outcome. Emphasis will be put on gastrointestinal bleeding within the Icelandic health care system but also in broader terms. Gastrointestinal bleeding in Iceland and in broader terms – a review ENGLISH SUMMARY 1Division of Medical Gastroenterology, Department of Internal Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden, 2Faculty of Medicine, University of Iceland, Reykjavík, Iceland, 3Division of Gastroenterology and Hepatology, Department of Internal Medicine, The National University Hospital of Iceland, Reykjavík, Iceland. Key words: Gastrointestinal haemorrhage, GI bleeding overview, Antithrombotic therapy, GIB risk evaluation. Correspondence: Jóhann P. Hreinsson, hreinssonjp@gmail.com Jóhann P. Hreinsson1 Einar S. Björnsson 2,3 DOI: 10.17992/lbl.2019.12.262 62. Chavez-Tapia N, Barrientos-Gutierrez T, Tellez-Avila F, Soares-Weiser K, Mendez-Sanchez N, Gluud C, et al. Meta-analysis: antibiotic prophylaxis for cirrhotic pati- ents with upper gastrointestinal bleeding–an updated Cochrane review. Alim Pharmacol Therap 2011; 34: 509- 18. 63. Hreinsson K, Guðmundsson S, Steingrímsdóttir H, Birgisson G, Jóhannesson A. Klínískar leiðbeiningar um notkun blóðhluta á Landspítala. Landspítali, Reykavík 2012. landspitali.is/library/Sameiginlegar-skrar/ Gagnasafn/BRUNNURINN/Kliniskar-leidbeiningar/ Blodhlutar/klin_leid_notkun_blodhluta_sept_2012.pdf - apríl 2019. 64. Jairath V, Kahan BC, Gray A, Dore CJ, Mora A, James MW, et al. Restrictive versus liberal blood transfusion for acute upper gastrointestinal bleeding (TRIGGER): a pragmatic, open-label, cluster randomised feasibility trial. Lancet 2015; 386: 137-44. 65. Villanueva C, Colomo A, Bosch A, Concepcion M, Hernandez-Gea V, Aracil C, et al. Transfusion strategies for acute upper gastrointestinal bleeding. N Engl J Med 2013; 368: 11-21. 66. Sung JJ, Lau JY, Ching JY, Wu JC, Lee YT, Chiu PW, et al. Continuation of low-dose aspirin therapy in peptic ulcer bleeding: a randomized trial. Ann Intern Med 2010; 152: 1-9. 67. Oakland K, Chadwick G, East JE, Guy R, Humphries A, Jairath V, et al. Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology. Gut 2019: gutjnl-2018-317807. 68. Green BT, Rockey DC, Portwood G, Tarnasky PR, Guarisco S, Branch MS, et al. Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial. Am J Gastroenterol 2005; 100: 2395. 69. Hreinsson JP, Ægisdottir S, Bjornsson ES. Acute lower gastrointestinal bleeding: A population-based five-year follow-up study. Un Eur Gastroenterol J 2019;2050640619863517. 70. Hreinsson JP, Bjarnason I, Bjornsson ES. The outcome and role of drugs in patients with unexplained gastrointestinal bleeding. Scand J Gastroenterol 2015; 50: 1482-9. Leiðrétting Í greinina Hæðarveiki og tengdir sjúkdómar í nóvemberblaðinu (Læknablaðið 2019; 105: 499-507) vantaði því miður eina töflu við birtingu og upplýsingar á mynd 3 voru ekki réttar. Beðist er velvirðingar á þessari handvömm, þetta hefur verið leiðrétt á netinu og í nýjum pdf.

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