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Dergiler / Middle Black Sea Journal of Health Science / 2022 / Cilt: 8 - Sayı: 3

Upper Gastrointestinal Bleeding: Do Emergency Endoscopic Evaluations Affect Clinical Outcomes?

Osman İNAN
Muhammed Fatih ACEHAN
Buket KARSAVURANOĞLU
Enes Seyda ŞAHİNER
Meryem ASLAN
İhsan ATEŞ
Sayfa
440–449
Yayın Tarihi
2022-08-31
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Endoscopic intervention was required in 47.0% cases in the urgent group, while the incidence was 23.9% in the early group (p=0.001).Conclusion: While no significant difference was found between the urgent and early groups in terms of mortality and re-bleeding, the need for endoscopic intervention and the incidence of high-risk endoscopic stigmata were found to be significantly higher in the urgent group.

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Amaç & Hipotez:Objective: We aimed to reveal the effect of time from admission to endoscopy on clinical outcomes such as mortality, rebleeding, and prolonged hospitalization among patients with acute upper gastrointestinal bleeding.Methods: Patients aged ≥18 years with acute upper gastrointestinal bleeding were enrolled in the study.
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Temel Bulgular & Veri:Those who had variceal bleeding during endoscopy, those whose hospital stay was shorter than 24 hours, those who did not undergo endoscopy, and those who underwent endoscopy after 24 hours were excluded from the study.
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Sonuç & Katkı:Endoscopic intervention was required in 47.0% cases in the urgent group, while the incidence was 23.9% in the early group (p=0.001).Conclusion: While no significant difference was found between the urgent and early groups in terms of mortality and re-bleeding, the need for endoscopic intervention and the incidence of high-risk endoscopic stigmata were found to be significantly higher in the urgent group.
🔬Tür:Literatür & Derleme Çalışması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Endoscopy · Outcome · Upper gastrointestinal bleeding

Abstract

Objective: We aimed to reveal the effect of time from admission to endoscopy on clinical outcomes such as mortality, rebleeding, and prolonged hospitalization among patients with acute upper gastrointestinal bleeding.Methods: Patients aged ≥18 years with acute upper gastrointestinal bleeding were enrolled in the study. Those who had variceal bleeding during endoscopy, those whose hospital stay was shorter than 24 hours, those who did not undergo endoscopy, and those who underwent endoscopy after 24 hours were excluded from the study. Clinical findings, routine laboratory test results, and imaging findings of the patients were retrospectively reviewed through the hospital’s records system.Results: A total of 252 patients were enrolled in the study. At admission, 30.2% (76) of patients were at clinically high risk of death or rebleeding, 71.8% had melena, and 51.2% had hematemesis. While 72 (28.6%) of the patients had high-risk endoscopic stigmata, 89 (35.3%) had low-risk endoscopic stigmata. The median hospital stay was 6 (1-91) days. In-hospital mortality occurred in 8 (3.2%) cases, rebleeding developed in 16 (6.3%) cases, endoscopic intervention was required in 103 (40.9%) cases, and prolonged hospital stay was required in 43 (17.1%) cases. High-risk endoscopic stigmata were identified in 63 (34.1%) cases in the urgent group and in 9 (13.4%) in the early group (p=0.001). Endoscopic intervention was required in 47.0% cases in the urgent group, while the incidence was 23.9% in the early group (p=0.001).Conclusion: While no significant difference was found between the urgent and early groups in terms of mortality and re-bleeding, the need for endoscopic intervention and the incidence of high-risk endoscopic stigmata were found to be significantly higher in the urgent group.

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Bu Makaleye Atıf Yap

İNAN, O., ACEHAN, M. F., KARSAVURANOĞLU, B., ŞAHİNER, E. S., ASLAN, M., ATEŞ, İ. (2022). Upper Gastrointestinal Bleeding: Do Emergency Endoscopic Evaluations Affect Clinical Outcomes?. Middle Black Sea Journal of Health Science, Cilt: 8 - Sayı: 3, 440–449. https://ajindex.com/articles/790981

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Kaynakça (13)

  1. Fallah MA, Prakash C, Edmundowicz S. Acute gastrointestinal bleeding. Med Clin North Am 2000;84(5):1183–208
  2. Hearnshaw SA, Logan RF, Lowe D, Travis SP, Murphy MF, Palmer KR. Acute upper gastrointestinal bleeding in the UK: patient characteristics, diagnoses and outcomes in the 2007 UK audit. Gut 2011; 60:1327–1335
  3. Rockall TA, Logan RF, Devlin HB, Northfield TC. Incidence of and mortality from acute upper gastrointestinal haemorrhage in the United Kingdom. Steering Committee and members of the National Audit of Acute Upper Gastrointestinal Haemorrhage. BMJ 1995; 311:222–226
  4. Rosenstock SJ, Møller MH, Larsson H, Johnsen SP, Madsen AH, Bendix J, et al. Improving quality of care in peptic ulcer bleeding: nationwide cohort study of 13,498 consecutive patients in the Danish Clinical Register of Emergency Surgery. Am J Gastroenterol 2013; 108:1449–1457
  5. Blatchford O, Murray WR, Blatchford M. A risk score to predict need for treatment for upper-gastrointestinal haemorrhage. Lancet 2000; 356:1318–1321
  6. Rockall TA, Logan RF, Devlin HB, Northfield TC. Risk assessment after acute upper gastrointestinal haemorrhage. Gut 1996; 38:316–321
  7. Aquarius M, Smeets FG, Konijn HW, Stassen PM, Keulen ET, Van Deursen CT, at al. Prospective multicenter validation of the Glasgow Blatchford bleeding score in the management of patients with upper gastrointestinal hemorrhage presenting at an emergency department. Eur J Gastroenterol Hepatol 2015; 27:1011–1016
  8. Bryant RV, Kuo P, Williamson K, Yam C, Schoeman MN, Holloway RH, et al. Performance of the Glasgow-Blatchford score in predicting clinical outcomes and intervention in hospitalized patients with upper GI bleeding. Gastrointest Endosc 2013; 78:576–583
  9. Lim LG, Ho KY, Chan YH, Teoh PL, Khor CJ, Lim LL, et al. Urgent endoscopy is associated with lower mortality in high-risk but not low-risk nonvariceal upper gastrointestinal bleeding. Endoscopy 2011;43: 300–306
  10. Laine L, Jensen DM. Management of patients with ulcer bleeding. Am J Gastroenterol 2012; 107: 345-60
  11. NICE. Acute upper gastrointestinal bleeding in over 16s: management. Available from: https://www.nice.org.uk/ guidance/cg141. (2012, accessed 20 February 2018)
  12. Sacks HS, Chalmers TC, Blum AL, Berrier J, Pagano D. Endoscopic hemostasis: an effective therapy for bleeding peptic ulcers. JAMA 1990; 264:494-9
  13. Bleau BL, Gostout CJ, Shaw MJ, Keate RF, Harford WV, Bracy W Jr, et al. Final results: rebleeding from peptic ulcers associated