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Article: A retrospective and prospective study on the safety of discharging selected patients with duodenal ulcer bleeding on the same day as endoscopy

TitleA retrospective and prospective study on the safety of discharging selected patients with duodenal ulcer bleeding on the same day as endoscopy
Authors
Issue Date1997
PublisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/gie
Citation
Gastrointestinal Endoscopy, 1997, v. 45 n. 1, p. 26-30 How to Cite?
AbstractBackground: Low risk of rebleeding has been observed in patients with gastrointestinal bleeding due to peptic ulcer without high-risk stigmata of recent hemorrhage. We aimed to evaluate the safety and acceptability of an aggressive early discharge policy in those patients admitted with upper gastrointestinal bleeding due to duodenal ulcers without high-risk stigmata of recent hemorrhage. Method: Retrospective analysis was carried out in bleeding ulcer patients less than 60 years of age with stable vital signs and no stigmata or only flat spots on endoscopy. A prospective study was then performed that included only duodenal ulcer patients less than 60 years of age with stable vital signs, no concomitant serious medical illness, and no stigmata of recent hemorrhage. These patients were discharged on the same day that endoscopy was performed. Results: During a period of 18 months, 72 patients satisfied the criteria in the retrospective study. The mean hospital stay was 1.4 days (range, 1 to 5). There were no episodes of rebleeding nor significant drops in hemoglobin level 2 weeks after discharge (10.8 gm/dL ± 1.4 vs 11.0 gm/dL ± 1.5). Seventy-five patients were recruited into the prospective study. None of them had rebleeding nor significant drops in hemoglobin 1 week after discharge (12.1 gm/dL ± 1.8 vs 11.7 gm/dL ± 2.5). Conclusion: We conclude that patients with gastrointestinal bleeding who have clean-based duodenal ulcers and are stable on admission can be safely discharged on the same day as endoscopy.
Persistent Identifierhttp://hdl.handle.net/10722/76821
ISSN
2015 Impact Factor: 6.217
2015 SCImago Journal Rankings: 2.390
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorKam Chuen Laien_HK
dc.contributor.authorWai Mo Huien_HK
dc.contributor.authorWong, BCYen_HK
dc.contributor.authorChi Kong Chingen_HK
dc.contributor.authorShiu Kum Lamen_HK
dc.date.accessioned2010-09-06T07:25:16Z-
dc.date.available2010-09-06T07:25:16Z-
dc.date.issued1997en_HK
dc.identifier.citationGastrointestinal Endoscopy, 1997, v. 45 n. 1, p. 26-30en_HK
dc.identifier.issn0016-5107en_HK
dc.identifier.urihttp://hdl.handle.net/10722/76821-
dc.description.abstractBackground: Low risk of rebleeding has been observed in patients with gastrointestinal bleeding due to peptic ulcer without high-risk stigmata of recent hemorrhage. We aimed to evaluate the safety and acceptability of an aggressive early discharge policy in those patients admitted with upper gastrointestinal bleeding due to duodenal ulcers without high-risk stigmata of recent hemorrhage. Method: Retrospective analysis was carried out in bleeding ulcer patients less than 60 years of age with stable vital signs and no stigmata or only flat spots on endoscopy. A prospective study was then performed that included only duodenal ulcer patients less than 60 years of age with stable vital signs, no concomitant serious medical illness, and no stigmata of recent hemorrhage. These patients were discharged on the same day that endoscopy was performed. Results: During a period of 18 months, 72 patients satisfied the criteria in the retrospective study. The mean hospital stay was 1.4 days (range, 1 to 5). There were no episodes of rebleeding nor significant drops in hemoglobin level 2 weeks after discharge (10.8 gm/dL ± 1.4 vs 11.0 gm/dL ± 1.5). Seventy-five patients were recruited into the prospective study. None of them had rebleeding nor significant drops in hemoglobin 1 week after discharge (12.1 gm/dL ± 1.8 vs 11.7 gm/dL ± 2.5). Conclusion: We conclude that patients with gastrointestinal bleeding who have clean-based duodenal ulcers and are stable on admission can be safely discharged on the same day as endoscopy.en_HK
dc.languageengen_HK
dc.publisherMosby, Inc. The Journal's web site is located at http://www.elsevier.com/locate/gieen_HK
dc.relation.ispartofGastrointestinal Endoscopyen_HK
dc.rightsGastrointestinal Endoscopy. Copyright © Mosby, Inc.en_HK
dc.subject.meshAdolescenten_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshDuodenal Ulcer - complicationsen_HK
dc.subject.meshEndoscopy, Gastrointestinal - adverse effectsen_HK
dc.subject.meshEvaluation Studies as Topicen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHong Kongen_HK
dc.subject.meshHumansen_HK
dc.subject.meshLength of Stayen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPatient Discharge - standards - trendsen_HK
dc.subject.meshPeptic Ulcer Hemorrhage - diagnosis - etiology - physiopathologyen_HK
dc.subject.meshProspective Studiesen_HK
dc.subject.meshRecurrenceen_HK
dc.subject.meshRetrospective Studiesen_HK
dc.titleA retrospective and prospective study on the safety of discharging selected patients with duodenal ulcer bleeding on the same day as endoscopyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0016-5107&volume=45&spage=26&epage=30&date=1997&atitle=A+retrospective+and+prospective+study+on+the+safety+of+discharging+selected+patients+with+duodenal+ulcer+bleeding+on+the+same+day+as+endoscopy.en_HK
dc.identifier.emailWong, BCY:bcywong@hku.hken_HK
dc.identifier.authorityWong, BCY=rp00429en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S0016-5107(97)70299-2en_HK
dc.identifier.pmid9013166-
dc.identifier.scopuseid_2-s2.0-0031017570en_HK
dc.identifier.hkuros22450en_HK
dc.identifier.volume45en_HK
dc.identifier.issue1en_HK
dc.identifier.spage26en_HK
dc.identifier.epage30en_HK
dc.identifier.isiWOS:A1997WF73400005-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridKam Chuen Lai=16947396700en_HK
dc.identifier.scopusauthoridWai Mo Hui=7409779346en_HK
dc.identifier.scopusauthoridWong, BCY=7402023340en_HK
dc.identifier.scopusauthoridChi Kong Ching=7409843243en_HK
dc.identifier.scopusauthoridShiu Kum Lam=7409550162en_HK

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