Endoscopy Timing in Patients with Acute Upper Gastrointestinal Bleeding

What is the ideal timing for endoscopy in acute upper gastrointestinal bleeding?

Emergency endoscopy in upper gastrointestinal bleeding.

Emergency endoscopy was done in 306 patients with acute upper gastrointestinal bleeding. Most of the patients were in the age group 20—39 years. Male to female ratio was 2.3:1. The main causes of bleeding were peptic ulcer (40.1 8%), oesophageal varices (32.4%) and superficial mucosal lesions (13.9%). Causes of bleeding remained obscure in 7.2% cases; dual lesions were seen in 2.94%. Complete f...

Meta-analysis: erythromycin before endoscopy for acute upper gastrointestinal bleeding.

BACKGROUND Studies evaluating the effect of erythromycin on patients with acute upper gastrointestinal bleeding (UGIB) had been reported, but the results were inconclusive. AIMS To compare erythromycin with control in patients with acute UGIB by performing a meta-analysis. METHODS Electronic databases including PubMed, EMBASE and the Cochrane Library, Science Citation Index, were searched t...

Endoscopy for Nonvariceal Upper Gastrointestinal Bleeding

Endoscopy for acute nonvariceal upper gastrointestinal bleeding plays an important role in primary diagnosis and management, particularly with respect to identification of high-risk stigmata lesions and to providing endoscopic hemostasis to reduce the risk of rebleeding and mortality. Early endoscopy, defined as endoscopy within the first 24 hours after presentation, improves patient outcome an...

Outcome of endoscopy and barium radiography for acute upper gastrointestinal bleeding: controlled trial in 1037 patients.

A study was conducted to find whether the higher diagnostic yield of endoscopy compared with barium radiography improves management or survival in patients with acute upper gastrointestinal bleeding. A total of 1037 patients were entered into a randomised study comparing the outcomes after each investigation. The diagnostic yield in patients who underwent endoscopy was 73% (382 of 526 cases) an...