Perforated and bleeding peptic ulcer : WSES guidelines

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Tarasconi , A , Coccolini , F , Biffl , W L , Tomasoni , M , Ansaloni , L , Picetti , E , Molfino , S , Shelat , V , Cimbanassi , S , Weber , D G , Abu-Zidan , F M , Campanile , F C , Di Saverio , S , Baiocchi , G L , Casella , C , Kelly , M D , Kirkpatrick , A W , Leppäniemi , A , Moore , E E , Peitzman , A , Fraga , G P , Ceresoli , M , Maier , R V , Wani , I , Pattonieri , V , Perrone , G , Velmahos , G , Sugrue , M , Sartelli , M , Kluger , Y & Catena , F 2020 , ' Perforated and bleeding peptic ulcer : WSES guidelines ' , World journal of emergency surgery , vol. 15 , no. 1 , 3 . https://doi.org/10.1186/s13017-019-0283-9

Title: Perforated and bleeding peptic ulcer : WSES guidelines
Author: Tarasconi, Antonio; Coccolini, Federico; Biffl, Walter L.; Tomasoni, Matteo; Ansaloni, Luca; Picetti, Edoardo; Molfino, Sarah; Shelat, Vishal; Cimbanassi, Stefania; Weber, Dieter G.; Abu-Zidan, Fikri M.; Campanile, Fabio C.; Di Saverio, Salomone; Baiocchi, Gian Luca; Casella, Claudio; Kelly, Michael D.; Kirkpatrick, Andrew W.; Leppäniemi, Ari; Moore, Ernest E.; Peitzman, Andrew; Fraga, Gustavo Pereira; Ceresoli, Marco; Maier, Ronald V.; Wani, Imtaz; Pattonieri, Vittoria; Perrone, Gennaro; Velmahos, George; Sugrue, Michael; Sartelli, Massimo; Kluger, Yoram; Catena, Fausto
Contributor: University of Helsinki, HUS Abdominal Center
Date: 2020-01-07
Language: eng
Number of pages: 24
Belongs to series: World journal of emergency surgery
ISSN: 1749-7922
URI: http://hdl.handle.net/10138/313378
Abstract: Background Peptic ulcer disease is common with a lifetime prevalence in the general population of 5-10% and an incidence of 0.1-0.3% per year. Despite a sharp reduction in incidence and rates of hospital admission and mortality over the past 30 years, complications are still encountered in 10-20% of these patients. Peptic ulcer disease remains a significant healthcare problem, which can consume considerable financial resources. Management may involve various subspecialties including surgeons, gastroenterologists, and radiologists. Successful management of patients with complicated peptic ulcer (CPU) involves prompt recognition, resuscitation when required, appropriate antibiotic therapy, and timely surgical/radiological treatment. Methods The present guidelines have been developed according to the GRADE methodology. To create these guidelines, a panel of experts was designed and charged by the board of the WSES to perform a systematic review of the available literature and to provide evidence-based statements with immediate practical application. All the statements were presented and discussed during the 5th WSES Congress, and for each statement, a consensus among the WSES panel of experts was reached. Conclusions The population considered in these guidelines is adult patients with suspected complicated peptic ulcer disease. These guidelines present evidence-based international consensus statements on the management of complicated peptic ulcer from a collaboration of a panel of experts and are intended to improve the knowledge and the awareness of physicians around the world on this specific topic. We divided our work into the two main topics, bleeding and perforated peptic ulcer, and structured it into six main topics that cover the entire management process of patients with complicated peptic ulcer, from diagnosis at ED arrival to post-discharge antimicrobial therapy, to provide an up-to-date, easy-to-use tool that can help physicians and surgeons during the decision-making process.
Subject: Peptic ulcer
High-risk patients
Diagnosis
Non-operative management
Surgery
Antibiotics
Peritonitis
Pancreatitis
Intra-abdominal infection
Technique
Timing
Angiography
Embolization
Guidelines
UPPER GASTROINTESTINAL HEMORRHAGE
HELICOBACTER-PYLORI ERADICATION
1ST-LINE ENDOSCOPIC TREATMENT
THE-SCOPE CLIP
INTERNATIONAL CONSENSUS DEFINITIONS
WORKING GROUP CONSENSUS
LAPAROSCOPIC REPAIR
EMERGENCY-SURGERY
OMENTAL PATCH
TIME TRENDS
3126 Surgery, anesthesiology, intensive care, radiology
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