International Journal of Medical Reviews

International Journal of Medical Reviews

New Methods for Controlling Gastrointestinal Bleeding: A Systematic Review

Document Type : Systematic Review

Authors
1 Faculty of Nursing, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Faculty of Nursing, Shahid Beheshti University of Medical Sciences, Tehran, Irann
Abstract
Introduction: Gastrointestinal bleeding is a serious medical issue that demands effective treatments. This systematic review aims to assess new therapeutic approaches for managing gastrointestinal bleeding and compare their effectiveness with traditional methods. The focus is on evaluating the impact of interventions like endoscopic treatments and surgical procedures.
Methods: A systematic search was conducted in scientific databases including MagIran, PubMed, Scopus, and others using keywords such as "patient safety", "surgical process", and "qualitative research". Studies published between 2015 and 2025 were included. This review compares the effectiveness of various gastrointestinal bleeding treatments.
Results: Endoscopic techniques, including OTSC, haemostatic powders, and suturing, have significantly improved the management of gastrointestinal bleeding by enhancing haemostasis and reducing rebleeding rates. Transarterial embolization (TAE) has proven effective for refractory cases, while self-expandable metal stents (SEMS) offer a viable option for managing variceal bleeding. Capsule endoscopy has improved the diagnosis of obscure bleeding sources, leading to more targeted interventions. Personalized treatment strategies, considering patient-specific risk factors, are essential for optimizing outcomes and minimizing complications .
Conclusion: Advancements in GI bleeding management have improved haemostasis and reduced rebleeding rates. Endoscopic techniques, TAE, and SEMS offer effective solutions, though challenges remain. Ongoing research and personalized approaches are key to optimizing outcomes.
Keywords

Volume 12, Issue 2
Spring 2025
Pages 894-900

  • Receive Date 03 March 2025
  • Revise Date 07 July 2025
  • Accept Date 13 July 2025