학술논문
How Can Patient's Risk Dictate the Timing of Endoscopy in Upper Gastrointestinal Bleeding?
Document Type
Report
Source
GE- Portuguese Journal of Gastroenterology. March 2022, Vol. 29 Issue 2, p96, 10 p.
Subject
Language
English
Abstract
Author(s): Marta Freitas [a,b,c]; Vítor Macedo Silva [a,b,c]; Tiago Cúrdia Gonçalves [a,b,c]; Carla Marinho [a,b,c]; José Cotter [a,b,c] Introduction Acute upper gastrointestinal bleeding (UGIB) is a common clinical emergency worldwide, [...]
Introduction: Although upper gastrointestinal bleeding (UGIB) management has improved substantially in the last decades, there is still much controversy regarding the optimal timing for performance of endoscopy. Recent guidelines suggest performing an early endoscopy within 24 h of nonvariceal UGIB (NVUGIB) presentation, although its impact on patients with different bleeding risks remains unclear. Aim: To evaluate the impact of performing endoscopy within 24 h on NVUGIB outcomes and to compare it in patients with lower-risk vs. higher-risk bleeding. Methods: This is a retrospective cohort study including consecutive patients undergoing upper endoscopy for suspected NVUGIB over 4 years. Demographic, clinical, biochemical, endoscopic, and outcome data were collected. Lower-risk bleeding was defined as a Glasgow-Blatchford score (GBS) Keywords: Nonvariceal upper gastrointestinal bleeding, Upper endoscopy, Timing of endoscopy
Introduction: Although upper gastrointestinal bleeding (UGIB) management has improved substantially in the last decades, there is still much controversy regarding the optimal timing for performance of endoscopy. Recent guidelines suggest performing an early endoscopy within 24 h of nonvariceal UGIB (NVUGIB) presentation, although its impact on patients with different bleeding risks remains unclear. Aim: To evaluate the impact of performing endoscopy within 24 h on NVUGIB outcomes and to compare it in patients with lower-risk vs. higher-risk bleeding. Methods: This is a retrospective cohort study including consecutive patients undergoing upper endoscopy for suspected NVUGIB over 4 years. Demographic, clinical, biochemical, endoscopic, and outcome data were collected. Lower-risk bleeding was defined as a Glasgow-Blatchford score (GBS) Keywords: Nonvariceal upper gastrointestinal bleeding, Upper endoscopy, Timing of endoscopy