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

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...

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Bibliographic Details
Published in:Middle East journal of digestive diseases 2021-07, Vol.13 (3), p.177-185
Main Authors: Ejtehadi, Fardad, Sivandzadeh, Gholam Reza, Hormati, Ahmad, Ahmadpour, Sajjad, Niknam, Ramin, Pezeshki Modares, Mahdi
Format: Article
Language:English
Subjects:
Antidepressants
Blood pressure
Cost analysis
Emergency medical care
Endoscopy
Hemoglobin
Literature reviews
Liver cirrhosis
Liver diseases
Medical diagnosis
Morbidity
Mortality
Patient admissions
Review
Risk assessment
Surgery
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Summary: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.
ISSN:2008-5230
2008-5249
DOI:10.34172/mejdd.2021.223