|
" Risk of esophago gastro duodenoscopy (EGD) after acute coronary syndrome (ACS): a systematic review "
/عظیم فروزان
; Mahsa Khodadoostan
; Peyman Adibi
| center
|
:
|
Isfahan University of Medical Sciences
|
| Document Type
|
:
|
Latin Dissertation
|
| Language of Document
|
:
|
English
|
| Record Number
|
:
|
103455
|
| Doc. No
|
:
|
T15060
|
| Call number
|
:
|
WB,141,F727r,2014
|
| Main Entry
|
:
|
Forozan, Azim
|
| Title & Author
|
:
|
Risk of esophago gastro duodenoscopy (EGD) after acute coronary syndrome (ACS): a systematic review/عظیم فروزان
|
| College
|
:
|
Schools, Medical
|
| Date
|
:
|
, 2014
|
| Degree
|
:
|
Internal Medicine, SubSpeciality
|
| Page No
|
:
|
29 p.: tab.
|
| Note
|
:
|
This thesis is a research project with project ID: 393516
|
| Abstract
|
:
|
Background: The safety of performing EGDafter acute coronary syndrome complicated by upper gastrointestinal bleeding (UGIB) has not been well established.Purpose: Estimate the safety of performing EGD after acute coronary syndrome. Data Sources: A systematic review of English articles using PUBMED and MEDLINE via Ovid and Sciencedirect. Search terms included: endoscopy, gastrointestinal bleeding, acute coronary syndrome, percutaneous coronary interventions and those equivalents in mesh terms. Study Selection: In order to find all clinical trials or case series that evaluate patients with acute coronary syndromewere reviewed with the inclusion criteria of having :ST elevation MI or non-ST elevation MI or unstable angina and GI bleeding detected at endoscopy with indication for Hematemesis, Coffee ground emesis, Melena, occult gastrointestinal bleeding or bright red blood per rectum. We evaluate the safety and complications of this procedure (include cardiopulmonary event or exaggeration of underlying ischemic heart disease during or after endoscopy) till January 2014 third week. Limitations: We searched only published trials with English abstract that are available online. Results: We fund eleven trials that three of them evaluate outcomes of EGD after PCI, one of them evaluate outcomes of EGD both before and after acute coronary syndrome and seven of them evaluate outcomes of EGD after acute coronary syndrome. Conclusions: We found that upper endoscopy in this situation is safe if the patients are stable and are managed properly. Therefore endoscopy must be performed immediately after the patient is stabilized and before Antithrombotic and antiplatelet drugs are prescribed .If a bleeding complication occurs after using these drugs, cessation of therapy is a potential option. Stopping or reversing antithrombotic and antiplatelet therapyiswarranted in the event of major bleeding (examples of which can be, gastrointestinal, retroperitoneal or intracranial) then endoscopy must be performed when therapeutic endoscopy is not contraindicated.
|
| Descriptor
|
:
|
1. Endoscopy.- Descriptors: Endoscopy
|
|
|
:
|
Acute Coronary Syndrome
|
|
|
:
|
Endoscopy, Digestive System
|
| Added Entry
|
:
|
Khodadoostan, Mahsa, Supervisor
|
|
|
:
|
Adibi, Peyman, Advisor
|
| Translated Title Supplied by Cataloguer
|
:
|
تحلیل هدفمند انجام آندوسکوپی تشخیصی و درمانی در بیماران مراجعه کننده با خونریزی گوارشی فوقانی و سندرم حاد کرونر همزمان
|
| |