Timing of Endoscopy for Acute Upper Gastrointestinal Bleeding

被引:0
|
作者
Disney, Benjamin [1 ]
Verma, Ajay [2 ]
Bhala, Neeraj [3 ]
机构
[1] Univ Hosp Coventry & Warwickshire, Coventry, W Midlands, England
[2] Kettering & Dist Gen Hosp, Kettering, England
[3] Queen Elizabeth Hosp Birmingham, Birmingham, W Midlands, England
关键词
MANAGEMENT; HEMORRHAGE;
D O I
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中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To the Editor:In their single-center trial on the timing of endoscopy for acute upper gastrointestinal bleeding, Lau et al. (April 2 issue)(1)found that 30-day mortality did not differ significantly between patients who were randomly assigned to undergo endoscopy within 6 hours after gastroenterologic consultation (urgent-endoscopy group) and those who were assigned to undergo endoscopy between 6 and 24 hours after consultation (early-endoscopy group) (8.9% and 6.6%, respectively; P=0.34). Similarly, a study of 20 U.K. centers(2)showed that early endoscopy (<= 24 hours after hospital admission) was not associated with a significantly lower 30-day mortality than delayed endoscopy (>24 hours . . .
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