Horibe GI bleeding prediction score: a simple score for triage decision-making in patients with suspected upper GI bleeding

Post written by Masayasu Horibe, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan, and the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Our study validates a recently developed simple scoring system in patients with suspected upper GI bleeding, called the …

Continue reading Horibe GI bleeding prediction score: a simple score for triage decision-making in patients with suspected upper GI bleeding

Outcomes in lower GI bleeding comparing weekend with weekday admission

Post written by Daniel J. Stein, MD, MPH, from the Division of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. We know that acute lower gastrointestinal bleeding is common in the inpatient setting and can require urgent intervention. Our focus was to determine …

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Impact of direct-acting oral anticoagulants and warfarin on postendoscopic GI bleeding and thromboembolic events

Post written by Andy Tien, MD, MS, from the Department of Internal Medicine, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California. The focus of our study was to compare the risk of GI bleeding (GIB) and thromboembolic events among patients undergoing GI endoscopic procedures who are prescribed direct-acting oral anticoagulants (DOACs) versus warfarin. Endoscopists …

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Efficacy of rapid bowel preparation with new 1 L polyethylene glycol ascorbate solution in severe acute lower GI bleeding

Post written by Mauro Manno, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL, Modena, Italy. A 70–year-old man with history of chronic atrial fibrillation ongoing anticoagulant therapy was hospitalized for hemorrhagic shock and severe anemia, secondary to massive LGIB. Resuscitation with fluids and blood transfusions was performed. The novel 1-liter PEG+ASC solution (Plenvu, …

Continue reading Efficacy of rapid bowel preparation with new 1 L polyethylene glycol ascorbate solution in severe acute lower GI bleeding

Alternative approach to hemostatic particle spraying for treatment of GI bleeding

Post written by Stuart K. Amateau, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Gastrointestinal bleeding is a leading cause of morbidity and mortality in the United States and occasionally patients exhibit refractory bleeding despite standard endoscopic therapy. Although used internationally for the …

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Outcomes of endoscopic intervention for overt GI bleeding in severe thrombocytopenia

Post written by Guilherme Piovezani Ramos, MD, from the Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA. We aimed to assess safety and effectiveness of endoscopic intervention for management of gastrointestinal bleeding in the setting of thrombocytopenia. Thrombocytopenia is frequently seen in populations at higher risk of gastrointestinal bleeding, such as patients with liver …

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Hemostatic power in malignant GI bleeding

Post written by Rapat Pittayanon, MD, MSc, and Alan Barkun, MD, MSc, from the Division of Gastroenterology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital of the Thai Red Cross, Bangkok, Thailand, and the Division of Gastroenterology, McGill University and the McGill University Health Centre, Montreal, Canada. This study was focusing on prognostic …

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Association between an increase in blood urea nitrogen at 24 hours and worse outcomes in acute nonvariceal upper GI bleeding

Post written by Navin L. Kumar, MD and John R. Saltzman, MD, from the Brigham and Women’s Hospital, Division of Gastroenterology, Hepatology and Endoscopy, and Harvard Medical School, Boston, Massachusetts. The focus of our study was to assess whether an increase in blood urea nitrogen (BUN) at 24 hours of presentation is predictive of worse …

Continue reading Association between an increase in blood urea nitrogen at 24 hours and worse outcomes in acute nonvariceal upper GI bleeding

Management of a Dieulafoy ulcer bleed with an over-the-scope clip

Post written by Malay Sharma, MD, DM, from the Jaswant Rai Speciality Hospital. This video shows the EUS features of Dieulafoy ulcer and its possible role in diagnosis of obscure overt GI bleeding. The OTSC can play an important role in the treatment of Dieulafoy ulcer. A 50-year-old man presented with massive hematemesis. Upper-Gastrointestinal (GI) …

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Timing of upper endoscopy influences outcomes in patients with acute nonvariceal upper GI bleeding

Post written by Navin L. Kumar, MD, and John R. Saltzman, MD, from the Brigham and Women’s Hospital, Division of Gastroenterology, Hepatology and Endoscopy and Harvard Medical School, Boston, Massachusetts. The focus of our study was to assess whether patients admitted with acute nonvariceal upper gastrointestinal bleeding (UGIB) with lower-risk vs high-risk bleeding have different …

Continue reading Timing of upper endoscopy influences outcomes in patients with acute nonvariceal upper GI bleeding