Can Pre-Endoscopic Assessment Predict Active Upper Gastrointestinal Bleeding? A Retrospective Study in Patients with Symptoms of Upper Gastrointestinal Bleeding Outside Regular Working Hours

2012 ◽  
Author(s):  
Arnd Giese ◽  
Catharina Grunwald ◽  
Jürgen Zieren ◽  
Nikolaus J. Büchner ◽  
Bernhard F. Henning
Keyword(s):  
Retrospective Study ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Working Hours ◽  
Endoscopic Assessment ◽  
Upper Gastrointestinal

Towards personalised management for non-variceal upper gastrointestinal bleeding

Gut ◽  
2021 ◽  
pp. gutjnl-2020-323846
Author(s):  
Joseph J Y Sung ◽  
Loren Laine ◽  
Ernst J Kuipers ◽  
Alan N Barkun
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Point Of Care ◽  
Management Strategies ◽  
Patient Characteristics ◽  
Professional Societies ◽  
Assessment And Treatment ◽  
Three Stages ◽  
Endoscopic Assessment ◽  
Upper Gastrointestinal

Guidelines from national and international professional societies on upper gastrointestinal bleeding highlight the important clinical issues but do not always identify specific management strategies pertaining to individual patients. Optimal treatment should consider the personal needs of an individual patient and the pertinent resources and experience available at the point of care. This article integrates international guidelines and consensus into three stages of management: pre-endoscopic assessment and treatment, endoscopic evaluation and haemostasis and postendoscopic management. We emphasise the need for personalised management strategies based on patient characteristics, nature of bleeding lesions and the clinical setting including available resources.

Acute upper gastrointestinal bleeding: endoscopic assessment and treatment

2020 ◽  
Vol 18 (Sup1) ◽  
pp. S26-S35
Author(s):  
Rajan Patel ◽  
Steven Mann
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Endoscopy ◽  
Acute Upper Gastrointestinal Bleeding ◽  
Assessment And Treatment ◽  
Medical Emergencies ◽  
The Uk ◽  
Endoscopic Assessment ◽  
Upper Gastrointestinal ◽  
Significant Mortality

Acute upper gastrointestinal bleeding (AUGIB) represents 10% of medical emergencies in the UK and is associated with a significant mortality risk. Mortality has remained steady over the past 2 decades, at approximately 10%, with over 4000 deaths per annum in the UK. Patients with significant bleeding present with symptoms of haematemesis, melaena or haematochezia (rapid transit of red blood through the GI tract). An assessment of haemodynamic stability along with adequate resuscitation is vital prior to performing safe endoscopy. The performance of prompt upper gastrointestinal endoscopy is then necessary, as it has diagnostic, prognostic and therapeutic roles. Early identification of aetiology (variceal versus non-variceal bleeding) is important and directs endoscopic and medical treatment. An increasing number of endoscopic therapeutic options are now available.

scholarly journals Effect of upper gastrointestinal bleeding on prognosis of middle-aged patients with acute ischemic stroke: a retrospective study

2021 ◽  
Vol 10 (13) ◽  
pp. 53-53
Author(s):  
Tinggang Wang ◽  
Dongxiao Zhu ◽  
Liang Kong ◽  
Chenyan Mu ◽  
Chaosheng Li ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Retrospective Study ◽  
Gastrointestinal Bleeding ◽  
Acute Ischemic Stroke ◽  
Upper Gastrointestinal Bleeding ◽  
Middle Aged ◽  
Aged Patients ◽  
Upper Gastrointestinal

scholarly journals Prognostic Value of AIMS65 Score in Cirrhotic Patients with Upper Gastrointestinal Bleeding

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Vinaya Gaduputi ◽  
Molham Abdulsamad ◽  
Hassan Tariq ◽  
Ahmed Rafeeq ◽  
Naeem Abbas ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Gastrointestinal Bleeding ◽  
Prognostic Value ◽  
Upper Gastrointestinal Bleeding ◽  
Laboratory Features ◽  
Cirrhotic Patients ◽  
Rockall Score ◽  
Time Of Admission ◽  
Upper Gastrointestinal ◽  
Length Of Hospitalization

Introduction. Unlike Rockall scoring system, AIMS65 is based only on clinical and laboratory features. In this study we investigated the correlation between the AIMS65 score and Endoscopic Rockall score, in cirrhotic and noncirrhotic patients.Methods. This is a retrospective study of patients admitted with overt UGIB and undergoing esophagogastroduodenoscopy (EGD). AIMS65 and Rockall scores were calculated at the time of admission. We investigated the correlation between both scores along with stigmata of bleed seen on endoscopy.Results. A total of 1255 patients were studied. 152 patients were cirrhotic while 1103 patients were noncirrhotic. There was significant correlation between AIMS65 and Total Rockall scores in patients of both groups. There was significant correlation between AIMS65 score and Endoscopic Rockall score in noncirrhotics but not cirrhotics. AIMS65 scores in both cirrhotic and noncirrhotic groups were significantly higher in patients who died from UGIB than in patients who did not.Conclusion. We observed statistically significant correlation between AIMS65 score and length of hospitalization and mortality in noncirrhotic patients. We found that AIMS65 score paralleled the endoscopic grading of lesion causing UGIB in noncirrhotics. AIMS65 score correlated only with mortality but not the length of hospitalization or endoscopic stigmata of bleed in cirrhotics.

A retrospective study demonstrating properties of nonvariceal upper gastrointestinal bleeding in Turkey

2011 ◽  
Vol 22 (3) ◽  
pp. 249-254 ◽  
Author(s):  
Serhat BOR ◽  
Ulku DAGLI ◽  
Banu SARER ◽  
Selim GUREL ◽  
Nurdan TOZUN ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Upper Gastrointestinal

Predictors of endoscopic intervention in upper gastrointestinal bleeding patients hospitalized for another illness: a multi-center retrospective study

2021 ◽  
Vol 62 (4) ◽  
Author(s):  
Tawfik KHOURY ◽  
Fares DARAWSHEH ◽  
Saleh DAHER ◽  
Shaul YAARI ◽  
Lior KATZ ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Endoscopic Intervention ◽  
Upper Gastrointestinal
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