A new breakthrough in timing of urgent endoscopy for gastrointestinal bleeding patientsSeptember 10, 2008It is widely accepted that urgent endoscopy for UGIB should be performed within 24 hour from the admission. However, within this period of time, it is still unclear whether it should be performed either very early - i.e. within 2 hour - or in a more delayed interval, such as after 6, 12 or 24 hour. Therefore, optimal timing for urgent endoscopy in UGIB patients has not been yet established. A research article to be published on August 28, 2008 in the World Journal of Gastroenterology addresses this question. The research team led by Professor, Tammaro from "San Giovanni Addolorata" Hospital in Rome prospectively assessed whether a simplified clinical score prior to endoscopy in UGIB patients was able to predict either active bleeding or endoscopic signs of recent haemorrhage which may deserve an urgent (< 2 h) endoscopy. When classifying 436 patients according to this score (T-score), active bleeding or signs of recent hemorrhage was detected in 85% of T1 (most severe) patients and only in 5% and 2% of those T2/T3 (less severe), respectively. This study shows that timing of urgent endoscopy following an episode of UGIB may be differentiated according to a simple score purely reflecting the clinical conditions of the patients. This would allow most of the high-risk patients to be effectively treated, whilst delaying most of the purely diagnostic procedures in low risk clinical patients. A future, randomized study is required to validate this clinical score. World Journal of Gastroenterology |
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| Related Endoscopy Current Events and Endoscopy News Articles Minimally Invasive Surgery Shown Safe and Effective Treatment for Rectal Cancer Laparoscopic surgery has been used in the treatment of intestinal disorders for close to 20 years, but its benefits have only recently begun to be extended to people with rectal cancer. Gastroenterology/hepatology societies release report evaluating fellowship training curriculum Due to the increasing complexities of treating digestive diseases, allowing gastroenterological (GI) trainee physicians the opportunity to develop enhanced abilities and experiences in specific disease areas or procedures will be a great benefit to patients, according to a "Report of the Multisociety Task Force on GI Training." Study shows unsedated colonoscopy for colorectal cancer screening well accepted by patients Researchers from Taiwan report in a new study that unsedated colonoscopy for primary colorectal cancer screening is well accepted in a majority of patients. Mayo Clinic study shows people with heart devices can 'digest' advanced diagnostic technology safely A new Mayo Clinic study suggests that video capsule endoscopy (CE), a procedure that uses wireless technology in diagnosing intestinal disease, is safe for patients with heart devices. Many patients with sleep apnea also suffer from GI tract conditions Patients who suffer from obstructive sleep apnea (OSA) also tend to have additional gastrointestinal (GI) tract conditions, such as gastric reflux and hiatal hernia, which form at the opening in your diaphragm where your food pipe (esophagus) joins your stomach. ERCP quality outcomes in a community hospital setting compare favorably with academic centers A new study from researchers in Minnesota found that endoscopic retrograde cholangiopancreatography (ERCP) performed in a community hospital setting results in complication rates that compare favorably with those of academic centers while achieving technical success at or above the performance levels recommended by the American Society for Gastrointestinal Endoscopy (ASGE)/American College of Gastroenterology (ACG) Task Force. What are the risk factors for rebleeding after negative angiography? Acute non-variceal gastrointestinal bleeding accounts for approximately 20% of emergency room visits and 5% of admissions. Surgical treatment a rare complication of duodenal diverticulum Most of the duodenal diverticula are diagnosed incidentally and asymptomatic, 12% to 27 % at endoscopy. Only 5% to 10% of patients with duodenal diverticula suffer from clinical symptoms. Endoscopy within 24 hours shows better outcomes in elderly with peptic ulcer bleeding A new study shows that elderly patients who underwent endoscopy within one day of presentation for peptic ulcer bleeding had a two-day shorter hospital stay and were less likely to require upper gastrointestinal surgery than patients who did not receive endoscopy within the first day of presentation. Is it possible to differentiate GISTs from leiomyomas by endoscopic ultrasonography? A research article to be published on July 21, 2009 in the World Journal of Gastroenterology addresses this question. This research led by Professor Kim and his colleagues in Pusan National University, South Korea. More Endoscopy Current Events and Endoscopy News Articles |
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