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All Journal Nexus Kedokteran Klinik Cermin Dunia Kedokteran Berita Kedokteran Masyarakat
Dwi Adhi Nugraha
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Health Professions Medicine & Pharmacology Nursing Public Health

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Journal : Cermin Dunia Kedokteran

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Diagnosis dan Tatalaksana Perdarahan Saluran Cerna Bagian Atas Non-Variseal Nugraha, Dwi Adhi
Cermin Dunia Kedokteran Vol 44, No 6 (2017): Dermatologi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (686.343 KB) | DOI: 10.55175/cdk.v44i6.796

Abstract

Perdarahan saluran cerna bagian atas non-variseal paling banyak disebabkan oleh perdarahan ulkus peptik. Penilaian status hemodinamik dan resusitasi merupakan langkah awal tatalaksana. Stratifikasi risiko perlu dilakukan. Saat ini endoskopi merupakan tulang punggung diagnosis dan terapi. Proton Pump Inhibitor (PPI) penting untuk mencegah perdarahan ulang dan mengurangi terapi endoskopi. Eradikasi H.pylori direkomendasikan pada setiap perdarahan ulkus peptik.Non-variceal upper gastrointestinal tract bleeding is mostly caused by peptic ulcer. Haemodynamic assessment and rescucitation is a first step of its management. Risk stratification should be done. Recent recommendation use endoscopy as a backbone for diagnosis and treatment. Proton Pump Inhibitor (PPI) can be given to prevent rebleeding and minimize the need for endoscopy therapy. H.pylori eradication is recommended for every ulcer peptic bleeding.
Co-Authors Istar Yuliadi Istar Yuliadi Rifai Hartanto Rifai Hartanto Triyanta Yuli Pramana