The primary level of acute gastrointestinal bleeding and abdominal pain emergency diagnosis
Abstract
The article discusses the emergency diagnosis of acute gastrointestinal bleeding and abdominal pain, which are common in outpatient settings and remain a challenging problem for primary medical care. The aim was to develop simplified algorithms for medical care provision in such conditions. The differences in initial clinical conditions and the main diagnostic criteria are focused. The algorithms take into account the current clinical guidelines.
References
1. Gaiani F., de'Angelis N., Kayali S., и др. Clinical approach to the patient with acute gastrointestinal bleeding // Acta Biomed. – 2018. – Т. 89, прил. 8. – С. 12–19.
2. Natesan S., Lee J., Volkamer H., Thoureen T. Evidence-based medicine approach to abdominal pain // Emerg. Med. Clin. North Am. – 2016. – Т. 34, № 2. – С. 165–190.
3. Скорая помощь. Клинические рекомендации / под ред. С. Ф. Багненко. – Москва : ГЭОТАР-Медиа, 2022. – 896 с.
4. Tokar J. L., Higa J. T. Acute gastrointestinal bleeding // Ann. Intern. Med. – 2022. – Т. 175, № 2. – С. 17–32.
5. Hawks M. K., Svarverud J. E. Acute lower gastrointestinal bleeding: evaluation and management // Am. Fam. Physician. – 2020. – Т. 101, № 4. – С. 206–212.
6. Karakonstantis S., Tzagkarakis E., Kalemaki D., и др. Nasogastric aspiration/lavage in patients with gastrointestinal bleeding: a review of the evidence // Expert Rev. Gastroenterol. Hepatol. – 2018. – Т. 12, № 1. – С. 63–72.
7. Sengupta N., Feuerstein J. D., Jairath V., и др. Management of patients with acute lower gastrointestinal bleeding: an updated ACG Guideline // Am. J. Gastroenterol. – 2023. – Т. 118, № 2. – С. 208–231.
8. Govender I., Rangiah S., Bongongo T., Mahuma P. A primary care approach to abdominal pain in adults // S. Afr. Fam. Pract. – 2021. – Т. 63, № 1. – С. a5280.
9. Gans S. L., Pols M. A., Stoker J., Boermeester M. A. Guideline for the diagnostic pathway in patients with acute abdominal pain // Dig. Surg. – 2015. – Т. 32. – С. 23–31.
10. Yew K. S., George M. K., Allred H. B. Acute abdominal pain in adults: evaluation and diagnosis // Am. Fam. Physician. – 2023. – Т. 103, № 6. – С. 585–596.
Review
For citations:
Makarova N.A. The primary level of acute gastrointestinal bleeding and abdominal pain emergency diagnosis. Title in english. 2025;20(2):8-11. (In Russ.)
Views:
7
Email this article 