When is urgent endoscopy indicated for the treatment of upper gastrointestinal bleeding (UGIB)?

Updated: Sep 01, 2021
  • Author: Bennie Ray Upchurch, III, MD, FACP, AGAF, FACG, FASGE; Chief Editor: BS Anand, MD  more...
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Answer

Urgent endoscopy is indicated when patients present with hematemesis, melena, or postural changes in blood pressure. Studies have demonstrated a lower rate of rebleeding and shorter length of stay when endoscopy was performed within 24 hours of admission. [77, 103] However, observational studies have not shown a benefit in clinical outcomes when endoscopy was performed within 2 to 12 hours of presentation. [58, 59]


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