Skip Navigation
Skip to contents

Clin Endosc : Clinical Endoscopy

OPEN ACCESS

Author index

Page Path
HOME > Browse Articles > Author index
Search
Tiago Dias Domingues 1 Article
Endoscopy Timing in Patients with Acute Upper Gastrointestinal Bleeding
Gonçalo Alexandrino, Tiago Dias Domingues, Rita Carvalho, Mariana Nuno Costa, Luís Carvalho Lourenço, Jorge Reis
Clin Endosc 2019;52(1):47-52.   Published online October 5, 2018
DOI: https://doi.org/10.5946/ce.2018.093
AbstractAbstract PDFPubReaderePub
Background
/Aims: The role of very early (≤12 hours) endoscopy in nonvariceal upper gastrointestinal bleeding is controversial. We aimed to compare results of very early and early (12–24 hours) endoscopy in patients with upper gastrointestinal bleeding demonstrating low-risk versus high-risk features and nonvariceal versus variceal bleeding.
Methods
This retrospective study included patients with nonvariceal and variceal upper gastrointestinal bleeding. The primary outcome was a composite of inpatient death, rebleeding, or need for surgery or intensive care unit admission. Endoscopy timing was defined as very early and early. We performed the analysis in two subgroups: (1) high-risk vs. low-risk patients and (2) variceal vs. nonvariceal bleeding.
Results
A total of 102 patients were included, of whom 59.8% underwent urgent endoscopy. Patients who underwent very early endoscopy received endoscopic therapy more frequently (p=0.001), but there was no improvement in other clinical outcomes. Furthermore, patients at low risk and with nonvariceal bleeding who underwent very early endoscopy had a higher risk of the composite outcome.
Conclusions
Very early endoscopy does not seem to be associated with improved clinical outcomes and may lead to poorer outcomes in specific populations with upper gastrointestinal bleeding. The actual benefit of very early endoscopy remains controversial and should be further clarified.

Citations

Citations to this article as recorded by  
  • Acute Nonvariceal Upper Gastrointestinal Bleeding in Patients Using Anticoagulants: Does the Timing of Endoscopy Affect Outcomes?
    Tiago Lima Capela, Vítor Macedo Silva, Marta Freitas, Tiago Cúrdia Gonçalves, José Cotter
    Digestive Diseases and Sciences.2024; 69(2): 570.     CrossRef
  • Endoscopia urgente frente a endoscopia precoz: ¿tiene algún papel la endoscopia urgente en la hemorragia digestiva alta aguda no varicosa?
    Javier Lucas Ramos, Jorge Yebra Carmona, Irene Andaluz García, Marta Cuadros Martínez, Patricia Mayor Delgado, Maria Ángeles Ruiz Ramírez, Joaquín Poza Cordón, Cristina Suárez Ferrer, Ana Delgado Suárez, Nerea Gonzalo Bada, Consuelo Froilán Torres
    Gastroenterología y Hepatología.2023; 46(8): 612.     CrossRef
  • Urgent endoscopy versus early endoscopy: Does urgent endoscopy play a role in acute non-variceal upper gastrointestinal bleeding?
    Javier Lucas Ramos, Jorge Yebra Carmona, Irene Andaluz García, Marta Cuadros Martínez, Patricia Mayor Delgado, Maria Ángeles Ruiz Ramírez, Joaquín Poza Cordón, Cristina Suárez Ferrer, Ana Delgado Suárez, Nerea Gonzalo Bada, Consuelo Froilán Torres
    Gastroenterología y Hepatología (English Edition).2023; 46(8): 612.     CrossRef
  • Clinical outcome of early endoscopy in patients with acute upper gastrointestinal bleeding in Alexandria emergency department
    Mina Montasser, Wael Nabil Abdel Salam, Amany Elbanna, Dina Magdy, Ahmed A. Sabry
    Egyptian Journal of Anaesthesia.2023; 39(1): 840.     CrossRef
  • Az akut gastroduodenalis fekélyvérzés gyógyszeres és endoszkópos kezelésének újabb szempontjai
    István Rácz
    Orvosi Hetilap.2023; 164(23): 883.     CrossRef
  • How Can Patient’s Risk Dictate the Timing of Endoscopy in Upper Gastrointestinal Bleeding?
    Marta Freitas, Vítor Macedo Silva, Tiago Cúrdia Gonçalves, Carla Marinho, José Cotter
    GE - Portuguese Journal of Gastroenterology.2022; 29(2): 96.     CrossRef
  • Impacto del tiempo a la endoscopia digestiva en pacientes con hemorragia de tubo digestivo alto no variceal: una revisión sistemática y metaanálisis
    H.G. Bilder, C. Soccini, J.S. Lasa, I. Zubiaurre
    Revista de Gastroenterología de México.2022; 87(3): 320.     CrossRef
  • Impact of time to esophagogastroduodenoscopy in patients with nonvariceal upper gastrointestinal bleeding: A systematic review and meta-analysis
    H.G. Bilder, C. Soccini, J.S. Lasa, I. Zubiaurre
    Revista de Gastroenterología de México (English Edition).2022; 87(3): 320.     CrossRef
  • Urgent Endoscopy in Nonvariceal Upper Gastrointestinal Hemorrhage: A Retrospective Analysis
    Jia-lun Guan, Ying-ying Han, Dan Fang, Mu-ru Wang, Ge Wang, De-an Tian, Pei-yuan Li
    Current Medical Science.2022; 42(4): 856.     CrossRef
  • Acute upper gastrointestinal bleeding: a clinical review
    Katherine Haggan, Gerri Mortimore
    Gastrointestinal Nursing.2022; 20(5): 20.     CrossRef
  • Endoscopic management of acute oesophageal variceal bleeding within 12 hours of admission is superior to 12–24 hours
    N Mousa, A Abdel-Razik, T Sheta, A G Deiab, A Habib, M Diasty, A Eldesoky, A Taha, E Mousa, A Yassen, A Fathy, A Elgamal
    British Journal of Biomedical Science.2021; 78(3): 130.     CrossRef
  • Endoscopic diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH): European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2021
    Ian M. Gralnek, Adrian J. Stanley, A. John Morris, Marine Camus, James Lau, Angel Lanas, Stig B. Laursen, Franco Radaelli, Ioannis S. Papanikolaou, Tiago Cúrdia Gonçalves, Mario Dinis-Ribeiro, Halim Awadie, Georg Braun, Nicolette de Groot, Marianne Udd, A
    Endoscopy.2021; 53(03): 300.     CrossRef
  • Optimal timing of endoscopy for acute upper gastrointestinal bleeding: a systematic review and meta-analysis
    Elettra Merola, Andrea Michielan, Giovanni de Pretis
    Internal and Emergency Medicine.2021; 16(5): 1331.     CrossRef
  • Which scoring system should be used for non‐variceal upper gastrointestinal bleeding? Old or new?
    Hong Jae Jeon, Hee Seok Moon, In Sun Kwon, Sun Hyung Kang, Jae Kyu Sung, Hyun Yong Jeong
    Journal of Gastroenterology and Hepatology.2021; 36(10): 2819.     CrossRef
  • Biopsy in emergency gastroscopy does not increase the risk of rebleeding in patients with Forrest I acute nonvariceal upper gastrointestinal bleeding combined with suspected malignant gastric ulcer: a multicenter retrospective cohort study
    Quchuan Zhao, Tianyu Chi
    BMC Gastroenterology.2021;[Epub]     CrossRef
  • The mortality rate among patients with acute upper GI bleeding (with/without EGD) at Aleppo University Hospital: A retrospective study
    Ziad Aljarad, Bashir Badawi Mobayed
    Annals of Medicine and Surgery.2021; 71: 102958.     CrossRef
  • Validation of a new risk score system for non-variceal upper gastrointestinal bleeding
    Min Seong Kim, Hee Seok Moon, In Sun Kwon, Jae Ho Park, Ju Seok Kim, Sun Hyung Kang, Jae Kyu Sung, Eaum Seok Lee, Seok Hyun Kim, Byung Seok Lee, Hyun Yong Jeong
    BMC Gastroenterology.2020;[Epub]     CrossRef
  • Interventional Algorithm in Gastrointestinal Bleeding—An Expert Consensus Multimodal Approach Based on a Multidisciplinary Team
    Anabela Rodrigues, Alexandre Carrilho, Nuno Almeida, Cilénia Baldaia, Ângela Alves, Manuela Gomes, Luciana Gonçalves, António Robalo Nunes, Carla Leal Pereira, Mário Jorge Silva, José Aguiar, Rosário Orfão, Pedro Duarte, Rui Tato Marinho
    Clinical and Applied Thrombosis/Hemostasis.2020; 26: 107602962093194.     CrossRef
  • Photoacoustic endoscopy: A progress review
    Heng Guo, Ying Li, Weizhi Qi, Lei Xi
    Journal of Biophotonics.2020;[Epub]     CrossRef
  • Upper gastrointestinal bleeding: Is only an injection of epinephrine sufficient? Success rates by Forrest classification
    Ahmet Surek, Eyup Gemici, Abdussamet Bozkurt, Mehmet Karabulut
    Sanamed.2020; 15(3): 309.     CrossRef
  • When Should We Perform Endoscopy for Patients with Upper Gastrointestinal Bleeding?
    Kyoungwon Jung, Moo In Park
    Clinical Endoscopy.2019; 52(1): 1.     CrossRef
  • Current Controversies Concerning Capsule Endoscopy
    David R. Cave, Shahrad Hakimian, Krunal Patel
    Digestive Diseases and Sciences.2019; 64(11): 3040.     CrossRef
  • 7,825 View
  • 468 Download
  • 19 Web of Science
  • 22 Crossref
Close layer

Clin Endosc : Clinical Endoscopy Twitter Facebook
Close layer
TOP