Timing of Emergency Endoscopy for Acute Upper Gastrointestinal Bleeding: A Literature Review

Author:

Ejtehadi Fardad1,Sivandzadeh Gholam Reza2,Hormati Ahmad3,Ahmadpour Sajjad4,Niknam Ramin5,Pezeshki Modares Mahdi3

Affiliation:

1. Associate Professor of Medicine, Gastroentrohepatology Research Center, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran

2. Assistant Professor of Medicine, Gatroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

3. Assistant professor of Gastroenterology, Gastrointestinal and Liver Diseases Research Center, Firozgar Hospital, Iran University of Medical Sciences, Tehran, Iran

4. Assistant Professor of Radiopharmacy, Gastroenterology and Hepatology Diseases Research Center, Qom University of Medical Sciences, Qom, Iran

5. Associate Professor of Medicine, Gatroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Upper gastrointestinal (GI) bleeding is a common cause for Emergency Department and hospital admissions and has significant mortality and morbidity if it remains untreated. Upper endoscopy is the key procedure for both diagnosis and treatment of acute upper GI bleeding. The aim of this article is to review the optimal timing of endoscopy in patients with acute upper GI bleeding. The cost-effectiveness and the influence of urgent or emergent endoscopy on patients’ outcomes are discussed. Also, we compare and contrast the available evidence and guidelines regarding the recommended time points for performing endoscopy in different clinical settings.

Publisher

Maad Rayan Publishing Company

Subject

Gastroenterology,Hepatology

Reference68 articles.

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4. 4 Acute upper gastrointestinal bleeding in the Amsterdam area: incidence, diagnosis, and clinical outcome;Vreeburg EM;Am J Gastroenterol,1997

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