Review article: transfusion in gastrointestinal haemorrhage-if, when and how much? (original) (raw)

This review article examines the role of blood transfusion in the management of gastrointestinal hemorrhage, challenging the established norms regarding the timing and quantity of transfusion. Through the analysis of historical data, clinical trials, and animal studies, the article highlights the potential adverse effects of transfusion, including complications associated with immunosuppression and the elevation of blood pressure during treatment. The review advocates for a conservative approach to transfusion, emphasizing the need for controlled trials to establish optimal transfusion practices in patients suffering from acute gastrointestinal hemorrhage.