Emergency Upper Gastrointestinal Bleeding

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Upper gastrointestinal bleeding is a common emergency associated with a substantial mortality rate. The management bridges disciplines and involves intensivists, gastroenterologists, haematologists and surgeons. Anyone looking after inpatients needs to have a working understanding of how to manage the condition.

The combined footage of the core course has a total duration of approximately 60 minutes. The estimated time needed to complete the course, including the final assessment, is 1 hour 10 minutes.

This course was developed by: UEG.

  • To be aware of the prevalence, morbidity and mortality of emergency upper GI bleeding
  • To understand the general management of the condition
  • To become familiar with endoscopic management of the bleeding site
  • To know how to manage cases when endoscopic therapy fails

Editor:
Dr Bjorn Rembacken, Consultant Gastroenterologist, Leeds University Hospital, UK. 

Authors:
Professor Krish Ragunath, Consultant Gastroenterologist, Queens Medical Centre, Nottingham, UK.
Professor Rudolf Stauber, Consultant Hepatologist, University Hospital Graz, Austria.
Dr Bjorn Rembacken, Consultant Gastroenterologist, Leeds University Hospital, UK.

Acknowledgement
We are indebted to Dr Grace McKay, a junior doctor in Leeds, for her consideration and help with all the important, but boring stuff that nobody else wanted to do! 

About the lead author
Professor Krish Ragunath received his medical degree from Chennai, India and trained as a gastroenterologist in England and Wales. He is currently Professor of GI Endoscopy, Head of Endoscopy Service and Consultant Gastroenterologist at the Nottingham University Hospitals, UK. He is particularly interested in advanced endoscopic imaging of the gastrointestinal tract and minimally invasive endoscopic therapy of early gastrointestinal neoplasia. He is a member of the BSG, ASGE, ESGE and a conferred honorary member of the South African GI Society. He is a member of the BSG Endoscopy and Oesophageal committees and the BSG Endoscopy research network steering group, as well as BSG International Secretary and a Fellow of the Royal College of Physicians of Edinburgh and London. He advises NICE on interventional endoscopic procedures and is an active member of the International Working Group on Classification of Oesophagitis (IWGCO) and Barrett's Oesophagus.

This course is suitable for gastroenterologists, physicians and surgeons in other disciplines who are caring for patients who may develop an upper GI bleeding site, as well as nursing staff, endoscopy associates and medical students.

  • The course is designed to last just over 1h in total. 
  • Krish Ragunath declares the following conflicts of interest (paid or unpaid consultancies, business interests or sources of honoraria payments in the period since 2011, and anything else which could potentially be viewed as a conflict of interest): Olympus (speaker’s honoraria, consultancy, research support, educational grants), Cook (research support, educational grants), Pentax (research support), Covidien (Research support, educational grants), ERBE (educational grants), Boston Scientific (consultancy, research support, educational grant) and Astra Zeneca (research support). RS and BJR declare that they have no conflicts of interest in relation to the material in this course. 
  • The production of this course was funded entirely by UEG. No external sponsorship was received.
  • The material used in this course was prepared in 2016.
  • Learners are invited to test their knowledge at the beginning and the end of the course via a series of 10 MCQs.
  • The course has a pass mark of 70%. Those scoring less than the required pass mark are encouraged to revisit the course and retake the assessment.

Release Date: October 2016

This course, made available on www.ueg.eu and organised by United European Gastroenterology, is accredited by the European Accreditation Council for Continuing Medical Education (EACCME) to award 1 European CME credit (ECMEC).
Each medical specialist should claim only those credits that he/she actually spent in the educational activity. The EACCME is an institution of the European Union of Medical Specialists (UEMS). Only those e-learning materials that are displayed on the UEMS-EACCME website have formally been accredited.