scholarly journals Risk stratification in acute variceal bleeding: Comparison of the AIMS65 score to established upper gastrointestinal bleeding and liver disease severity risk stratification scoring systems in predicting mortality and rebleeding

2019 ◽  
Vol 32 (5) ◽  
pp. 761-768 ◽  
Author(s):  
Marcus Robertson ◽  
Jonathan Ng ◽  
Walid Abu Shawish ◽  
Adrian Swaine ◽  
Gillian Skardoon ◽  
...  
Keyword(s):  
Liver Disease ◽  
Risk Stratification ◽  
Gastrointestinal Bleeding ◽  
Disease Severity ◽  
Variceal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Scoring Systems ◽  
Acute Variceal Bleeding ◽  
Upper Gastrointestinal

External validation of scoring systems in risk stratification of upper gastrointestinal bleeding

2017 ◽  
Vol 36 (2) ◽  
pp. 105-112 ◽  
Author(s):  
Anna Cherian Anchu ◽  
Subair Mohsina ◽  
Sathasivam Sureshkumar ◽  
T. Mahalakshmy ◽  
Vikram Kate
Keyword(s):  
Risk Stratification ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
External Validation ◽  
Scoring Systems ◽  
Upper Gastrointestinal

scholarly journals NON-VARICEAL UPPER GASTROINTESTINAL BLEEDING RECENT GUIDELINES, RISK STRATIFICATION AND PARADIGMS

2017 ◽  
Vol 64 (1) ◽  
pp. 77-81
Author(s):  
Ahed El-Khatib ◽  
◽  
Catalin Alius ◽  
Dragos Serban ◽  
◽  
...  
Keyword(s):  
Risk Stratification ◽  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Scoring Systems ◽  
Point Of View ◽  
Pharmacological Agents ◽  
Mortality And Morbidity ◽  
Endoscopic Techniques ◽  
Recent Advances ◽  
Upper Gastrointestinal

Despite recent advances in the treatment of upper gastrointestinal bleeding (UGI) lesions, mortality and morbidity have remained high. The introduction of scoring systems and novel endoscopic techniques have improved patients outcomes. Although guidelines for managing UGIB have been developed they have not been implemented ubiquitously. The authors offer a point of view in relation to the management of the non variceal UGIB with emphasis on the risk stratification, paradigms that have suffered changes or have been revalidated over the years, newly introduced pharmacological agents and timing of endoscopy.

scholarly journals Upper gastrointestinal bleeding in a Brazilian hospital: a retrospective study of endoscopic records

2002 ◽  
Vol 39 (2) ◽  
pp. 74-80 ◽  
Author(s):  
Cyrla ZALTMAN ◽  
Heitor Siffert Pereira de SOUZA ◽  
Maria Elizabeth C. CASTRO ◽  
Maria de Fátima S. SOBRAL ◽  
Paula Cristina P. DIAS ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Liver Disease ◽  
Mortality Rate ◽  
Gastrointestinal Bleeding ◽  
Diagnostic Accuracy ◽  
Variceal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Time Interval ◽  
Underlying Liver Disease ◽  
Upper Gastrointestinal

Background - Upper gastrointestinal bleeding is a frequent and potentially severe complication of most digestive diseases of the upper gastrointestinal tract. Upper endoscopy has a crucial role in the diagnosis and treatment of upper gastrointestinal bleeding, however epidemiological studies are still limited in our country. Aims - To assess the clinical characteristics, endoscopic accuracy, treatment efficiency and clinical outcome of patients admitted to the endoscopic unit with upper gastrointestinal bleeding. Methods - A retrospective study of consecutive records from patients who underwent emergency endoscopy for upper gastrointestinal bleeding was performed during a period of 2 years. Results - Most patients were male 68.7%, with a mean age of 54.5 ± 17.5 years. A bleeding site could be detected in 75.6% of the patients. Diagnostic accuracy was greater within the first 24 hours of the bleeding onset, and in the presence of hematemesis. Peptic ulcer was the main cause of upper gastrointestinal bleeding (35%). The prevalence of variceal bleeding (20.45%) indicates a high rate of underlying liver disease. Endoscopic treatment was performed in 23.86% of the patients. Permanent hemostasis was achieved in 86% of the patients at the first endoscopic intervention, and in 62.5% of the patients after rebleeding. Emergency surgery was seldom necessary. The average number of blood units was 1.44 ± 1.99 per patient. The average length of hospital stay was 7.71 ± 12.2 days. Rebleeding was reported in 9.1% of the patients. The overall mortality rate of 15.34% was significantly correlated with previous liver disease. Conclusions - Diagnostic accuracy was related to the time interval between the bleeding episode and endoscopy, and to clinical presentation. Endoscopic therapy was an effective tool for selected patients. The resulting increased duration of hospitalization and higher mortality rate in the patients submitted to therapeutic endoscopy were attributed to a higher prevalence of variceal bleeding and underlying liver disease.

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