Pediatric Gastrointestinal Bleeding Guidelines

Updated: Mar 09, 2017
  • Author: Wayne Wolfram, MD, MPH; Chief Editor: Robert K Minkes, MD, PhD  more...
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Guidelines

Guidelines Summary

The European Society of Gastrointestinal Endoscopy (ESGE) and the European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) put together guidelines on pediatric gastrointestinal endoscopy. The guidelines include the following strong recommendations for upper and lower pediatric GI bleeding and endoscopic hemostasis technique [12, 13] :

  • In cases of upper gastrointestinal bleeding with known esophageal varices, after standard medical intervention, esophagogastroduodenoscopy (EGD) be performed < 12 h.
  • Use band ligation (preferred) or sclerotherapy for hemostasis of pediatric esophageal variceal bleeding.