The most common cause of upper GI bleeding in pregnant women
is Mallory-Weiss tear. Studies show that endoscopy is generally safe and
effective during pregnancy. The most common indications for upper
gastrointestinal endoscopy are major or ongoing GI bleeding, dysphagia,
refractory nausea and vomiting. Endoscopic hemostasis for non-variceal upper
gastrointestinal bleeding can be achieved using injection, thermal, and/or
mechanical modalities. If there is an absolute need to perform Endoscopic
Retrograde Cholangiopancreatography (ERCP), the procedure should be performed
without delay. If ERCP is indicated, performing it without delay reduces
mortality and hepatobiliary complications. If there is a clinic where ERCP will
be performed and the procedure is avoided, mortality increases.
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