Urgent endoscopy in lower gastrointestinal bleeding

Urgent endoscopy in lower gastrointestinal bleeding.

Urgent double balloon endoscopy provides higher yields than non-urgent double balloon endoscopy in overt obscure gastrointestinal bleeding

BACKGROUND AND STUDY AIMS In overt obscure gastrointestinal bleeding (OV), double balloon endoscopy (DBE) is recommended as one of the most important investigations as it can provide both diagnosis and treatment. However, there is no set standard on the timing of DBE in OV. The aim of this study was to compare the diagnostic and therapeutic yields between urgent and non-urgent DBE in patients w...

Lower Gastrointestinal Bleeding: Is Urgent Colonoscopy Necessary for All Hematochezia?

Lower gastrointestinal bleeding (LGIB) is defined as acute or chronic abnormal blood loss distal to the ligament of Treitz. The incidence of LGIB is only one fifth of that of the upper gastrointestinal tract and is estimated to be 21 to 27 cases per 100,000 adults per year. Acute bleeding is arbitrarily defined as bleeding of <3 days' duration resulting in instability of vital signs, anemia, an...

Provocation of bleeding during endoscopy in patients with recurrent acute lower gastrointestinal bleeding.

Management of recurrent acute lower gastrointestinal bleeding (GIB) is problematic, as the bleeding is intermittent and often ceases by the time of diagnostic or therapeutic intervention. If a bleeding site can be identified, endoscopic therapy is a safe and effective intervention that may affect outcomes.1,2 Heparin administered during endoscopy for hemostasis has been reported in two case rep...

Simple clinical predictors may obviate urgent endoscopy in selected patients with nonvariceal upper gastrointestinal tract bleeding.

BACKGROUND The validated Blatchford risk score (BRS) predicts outcomes in patients with nonvariceal upper gastrointestinal tract bleeding, before endoscopy; completion of the Rockall score requires endoscopy. The aims of this study were to predict whether the modified BRS (mBRS) can predict (1) endoscopic high-risk stigmata (HRS) and (2) rebleeding and mortality. METHODS Clinical and demograp...