Upper gastrointestinal haemorrhage in severe dengue: To scope or not to scope?
- Author:
Chen Hong Lim
;
Benjamin Han Sim Ng
;
Foong Kee Kan
- Publication Type:Case Reports
- Keywords:
Dengue;
severe dengue;
gastrointestinal haemorrhage;
endoscopic;
haemostasis
- MeSH:
Dengue
- From:
The Medical Journal of Malaysia
2017;72(1):55-57
- CountryMalaysia
- Language:English
-
Abstract:
Upper gastrointestinal haemorrhage (UGIH) in severe
dengue represents a clinical dilemma in term of
management. The recommended treatment in dengue with
UGIH involves blood product transfusion support and
proton pump inhibitor (PPI) infusion. Despite being the
mainstay of treatment in non-dengue UGIH, the role of
endoscopic haemostatic intervention in severe dengue
remains controversial. In the present report, we present a
case of severe dengue complicated with upper
gastrointestinal haemorrhage successfully underwent early
therapeutic endoscopic intervention in a district hospital.
- Full text:P020170306380849602512.pdf
