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GUIDELINES
Non-variceal upper gastrointestinal haemorrhage: guidelines
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  • Published on: 18 April 2016
    Management of acute upper gastrointestinal bleeding
    • Achuth H Shenoy, Physician/ Gastroenterologist
    • Other Contributors:
      • Regi George

    Dear Editor

    Your publication of evidence-based guidelines by KR Palmer (Gut 2002; 51(Suppl IV):iv1-iv6] on the management of non-variceal bleeding is comprehensive, timely and is useful to the gastroenterologist as well as non-gastroenterologist alike. The mortality due to acute upper gastrointestinal (UGI) bleeding has not changed over last 5 decades.[1] This may be due to increasing elderly populati...

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    Conflict of Interest:
    None declared.
  • Published on: 18 April 2016
    Evidence based transfusion strategies

    Dear Editor

    These well informed guidelines [1] are largely accurate, however, section 3.3, dealing with resuscitation in the critically ill does need some correction. The implication is that transfusion in critically ill patients with evidence of gastrointestinal haemorrhage is indicated to maintain Hb > 10 g/dl. This cannot be demonstrated by the quoted study.[2] In this randomised controlled study of alternati...

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    Conflict of Interest:
    None declared.