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.
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.
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