Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 16, 2024; 12(35): 6855-6858
Published online Dec 16, 2024. doi: 10.12998/wjcc.v12.i35.6855
Clinical landscape and treatment of acute non-variceal upper gastrointestinal bleeding: Insights from a high-volume center in Shaanxi, China
Luca Improta
Luca Improta, Department of General Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome 00128, Italy
Author contributions: Improta L elaborated, wrote and revised the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Luca Improta, MD, Chief Doctor, Department of General Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, via Alvaro del Portillo 200, Rome 00128, Italy. luca.dr.improta@gmail.com
Received: March 19, 2024
Revised: September 8, 2024
Accepted: October 10, 2024
Published online: December 16, 2024
Processing time: 218 Days and 19.6 Hours
Abstract

In this editorial we comment on the article by Wang et al, recently published on World Journal of Clinical Cases. Acute non-variceal upper gastrointestinal bleeding (ANVUGIB) represents a common and potentially serious gastroenterological emergency. Wang et al conducted a detailed study on the management of ANVUGIB in a high-volume center in the Shaanxi region, China. Analyzing data from over 530 patients provided a comprehensive overview of clinical, epidemiological, and treatment characteristics. Results highlighted a younger patient population compared to European studies, with a higher prevalence of gastric and duodenal ulcers as the leading cause of bleeding. Endoscopic treatment is currently the preferred therapeutic option, offering a variety of effective techniques. This study emphasizes the importance of implementing current guidelines in ANVUGIB management and highlights the crucial role of endoscopy in its management.

Keywords: Upper gastrointestinal bleeding; Gastroenterological emergencies; Endoscopic treatment; Epidemiological characteristics; Clinical characteristics

Core Tip: Wang et al investigated acute non-variceal upper gastrointestinal bleeding management in a high-volume center in Shaanxi, China, revealing a younger patient demographic and a higher prevalence of gastric and duodenal ulcers as leading causes of bleeding compared to European studies. Endoscopic interventions emerged as the preferred therapeutic approach, emphasizing the importance of adhering to current guidelines and highlighting the pivotal role of endoscopy in treatment strategies.