ArticleClinical endoscopy2019
Endoscopy Timing in Patients with Acute Upper Gastrointestinal Bleeding.
Article in Clinical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Optimal timing of endoscopy for acute upper gastrointestinal bleeding: a systematic review and meta-analysis.Internal and emergency medicine · 2021Pooled it
- Timing of endoscopy and its impact on prognosis in patients admitted to the emergency department with upper gastrointestinal bleeding.Irish journal of medical science · 2026Article
- Endoscopic urgency triaging impacts acute variceal bleeding patient survival and hospital stay length.The Libyan journal of medicine · 2025Article
- Independent predictors of ICU admission, mortality, and intervention requirements in acute upper gastrointestinal bleeding.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025Article
- Impact of duration to endoscopy in patients with non-variceal upper gastrointestinal bleeding: propensity score matching analysis of real-world data from Thailand.BMC gastroenterology · 2025Article
- The Time of Endoscopy for Nonvariceal Upper Gastrointestinal Bleeding: An Observational Study.The Korean journal of helicobacter and upper gastrointestinal research · 2024Article
- Acute Nonvariceal Upper Gastrointestinal Bleeding in Patients Using Anticoagulants: Does the Timing of Endoscopy Affect Outcomes?Digestive diseases and sciences · 2024Article
- How Can Patient's Risk Dictate the Timing of Endoscopy in Upper Gastrointestinal Bleeding?GE Portuguese journal of gastroenterology · 2022Article
- The mortality rate among patients with acute upper GI bleeding (with/without EGD) at Aleppo University Hospital: A retrospective study.Annals of medicine and surgery (2012) · 2021Article
- 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.BMC gastroenterology · 2021Article
- Validation of a new risk score system for non-variceal upper gastrointestinal bleeding.BMC gastroenterology · 2020Article
- Outcomes of Upper Gastrointestinal Bleeding Based on Time to Endoscopy: A Retrospective Study.Cureus · 2020Article
- Current Controversies Concerning Capsule Endoscopy.Digestive diseases and sciences · 2019Review
- When Should We Perform Endoscopy for Patients with Upper Gastrointestinal Bleeding?Clinical endoscopy · 2019Article
- Interventional Algorithm in Gastrointestinal Bleeding-An Expert Consensus Multimodal Approach Based on a Multidisciplinary Team.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimsThe 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.
methodsThis 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.
resultsA 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.
conclusionVery 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.
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