Endoscopic therapy is the mainstay of treatment for nonvariceal upper gastrointestinal bleeding (NVUGIB). Injection plus mechanical or thermal therapy continues to be the most widely used option. New endoscopic devices such as the use of an inert powder or a new class of over-the-scope clip system have demonstrated encouraging results as a rescue therapy for difficult hemostasis. Emerging data suggest that Doppler ultrasound-guided endoscopic therapy may improve the outcome of peptic ulcer bleeding. This review sumarizes the recent advances in the management of NVUGIB. With increasing use of anti-platelet agents and anti-coagulants, the management of NVUGIB in patients on anti-thrombotic therapy is also discussed.

中文翻译：

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内镜处理非静脉曲张上消化道出血。

内镜治疗是非曲张性上消化道出血（NVUGIB）的主要治疗手段。注射加机械疗法或热疗法仍然是最广泛使用的选择。新的内窥镜设备，例如使用惰性粉末或新型的窥镜夹子系统，已显示出令人鼓舞的结果，可作为止血困难的抢救疗法。新兴数据表明，多普勒超声引导内镜治疗可改善消化性溃疡出血的预后。这篇综述总结了NVUGIB管理的最新进展。随着抗血小板药和抗凝剂使用的增加，还讨论了抗血栓治疗患者NVUGIB的管理。