Editor’s Choice- Upper GI hemorrhage mortality is decreasing

This month’s Editor’s Choice article comes from Dr. Sharmila Anandasabapathy, MD, FASGE. She recommends the article “The in-hospital mortality rate for upper GI hemorrhage has decreased over 2 decades in the United States: a nationwide analysis” by Marwan S. Abougergi, MD, Anne C. Travis, MD, MSc, and John R. Saltzman, MD from the Division of Gastroenterology, Hepatology and Endoscopy at Brigham and Women’s Hospital, Harvard Medical School, in Boston, Massachusetts, USA.

The past 5 decades have shown significant advances in both the medical and endoscopic treatment of upper GI bleeding. Despite this, there have been no recent articles evaluating the outcomes and in-hospital mortality in this new era. This study, performed using the Nationwide Inpatient Sample, shows a decline in overall incidence rate of non-variceal GI bleed. There was, not surprisingly, an increase in early endoscopy rates performed for GI bleeds and decline in hospital stay.

Figure 2

Figure 2. Annual UGIH incidence. The incidence of total and non-variceal UGIH was highest in 1994 and then declined from 1999 to 2009. The incidence of variceal UGIH steadily decreased from 1989 to 2009.


I recommend this article because it revises our current knowledge on non-variceal GI bleed, incidence rate, mortality, and rates of early endoscopy.

Points to take home include an overall decline in non-variceal UGI mortality; overall decline in non-variceal upper GI bleeding; increase in upper endoscopy and endoscopic therapeutic rates, in association with this; and a decline in length of hospital stay.

Read the abstract for this article here.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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