Article
Gastroenterology & Hepatology
Enrique Rodriguez de Santiago, Ruben Sanchez Aldehuelo, Fausto Riu Pons, Carlos Rodriguez Escaja, Gloria Fernandez-Esparrach, Angel Canete-Ruiz, Carlos Ferre Aracil, Daniel Perez-Corte, Raquel Rios Leon, Hector Miguel Marcos-Prieto, Pedro G. Delgado-Guillena, Ana Garcia-Rodriguez, Charly Guarner-Argente, Alfonso Muriel, Elsa de la Fuente-Briongos, Ana Garcia Garcia de Paredes, Sofia Parejo-Carbonell, Luis Tellez, Carla Senosiain-Lalastra, Diego Burgos-Santamaria, Marta Aicart-Ramos, Beatriz Mateos Munoz, Beatriz Penas-Garcia, Giulia Pagano, Gemma Casals Urquiza, Miguel Urpi Ferreruela, Miguel Angel de Jorge-Turrion, Eva Barreiro-Alonso, Miguel Fraile-Lopez, Ana Gomez-Outomuro, Maria Isabel Altamirano, Matilde Nunez Esteban, Mireia Ruiz-Andreu, Julia Arribas-Anta, Diego de Frutos, Alberto Herreros-de-Tejada, Maria Luisa Arias-Rivera, Marta Roldan-Fernandez, Angel F. Marcos Martin, Javier Zamora, Enrique Vazquez-Sequeiros, Agustin Albillos
Summary: This study found that the risks of endoscopy-related gastrointestinal bleeding and thromboembolic events were similar in patients undergoing elective endoscopy on DOACs or VKAs. Early anticoagulant resumption appeared to be safe in most patients, but further research is needed for high-risk therapeutic procedures.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Article
Gastroenterology & Hepatology
Nirav Thosani, Shahrooz Rashtak, Bijun Sai Kannadath, Akhil Munjal, Matthew Meriwether, Eric D. Yoon, Andrew Hermann, Sara Ali, Paul G. Haddad, Prithvi Patil, Srinivas Ramireddy, Ricardo Badillo, R. Tomas DaVee, Sushovan Guha
Summary: The study found that the risk of significant bleeding associated with PEG placement was minimal in patients on uninterrupted periprocedural antithrombotic therapy. There were only a few cases of significant bleeding events and PEG-related mortality in the study cohort.
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2021)
Article
Health Care Sciences & Services
Xia Li, Jun-Xi Wang, Yu-Ping Wang, Jia-Xin Shen, Yi-Xing Zheng, Pei-Hong Zhang, Jing-Jing Wei, Ze-Hao Zhuang
Summary: This study compared indications, success rates, and complications of pull and introducer techniques for percutaneous endoscopic gastrostomy (PEG). The introducer technique was found to be more suitable for patients with esophageal stricture, with lower minor complications but a higher rate of tube replacement compared to the pull technique. The use of antibiotics may reduce minor complications following PEG, and early PEG insertion may help to reduce post-PEG major complications.
JOURNAL OF MULTIDISCIPLINARY HEALTHCARE
(2022)
Article
Multidisciplinary Sciences
Jeemyoung Kim, Eun Jeong Gong, Myeongsook Seo, Jong Kyu Park, Sang Jin Lee, Koon Hee Han, Young Don Kim, Woo Jin Jeong, Gab Jin Cheon, Hyun Il Seo
Summary: This study aimed to compare the clinical outcomes of urgent endoscopy and elective endoscopy in patients with acute upper gastrointestinal bleeding (UGIB). The results showed that there was no difference in mortality rate within 30 days between urgent endoscopy and elective endoscopy.
SCIENTIFIC REPORTS
(2022)
Article
Medicine, General & Internal
Heon Sakong, Hee Seok Moon, Seong Woo Choi, Sun Hyung Kang, Jae Kyu Sung, Hyun Yong Jeong
Summary: The ABC score accurately predicts the 30-day mortality in patients with peptic ulcer bleeding, but it may not be suitable for predicting rebleeding or the need for radiologic/surgical interventions.
Article
Gastroenterology & Hepatology
Rishad Khan, Sudipta Saha, Nikko Gimpaya, Rishi Bansal, Michael A. Scaffidi, Fahad Razak, Amol A. Verma, Samir C. Grover
Summary: This study describes the impact of the COVID-19 pandemic on upper gastrointestinal bleeding (UGIB) outcomes in the Toronto area in Canada. The results show that patients with UGIB during the pandemic were less likely to receive endoscopy, but this did not affect mortality or other clinical outcomes.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Article
Multidisciplinary Sciences
Munehiko Tajika, Tamotsu Matsuhashi, Yosuke Shimodaira, Sho Fukuda, Tsuyotoshi Tsuji, Kae Sugawara, Youhei Saruta, Yasutaka Takahashi, Kenta Watanabe, Katsunori Iijima
Summary: A simple prediction score called the CHAMPS score has been developed to predict in-hospital mortality in patients with upper gastrointestinal bleeding. This study aims to evaluate the usefulness of the CHAMPS score in predicting in-hospital mortality in patients with lower gastrointestinal bleeding (LGIB). The CHAMPS score showed good performance, with a higher area under the curve (AUC) compared to existing scores, in predicting in-hospital mortality in LGIB patients.
SCIENTIFIC REPORTS
(2022)
Article
Surgery
Antonio Giordano, Miriam Escapa, Miquel Urpi-Ferreruela, Gherzon Casanova, Gloria Fernandez-Esparrach, Angels Gines, Josep Llach, Begona Gonzalez-Suarez
Summary: The study evaluates the diagnostic performance of the artificial intelligence tool TOP100 in patients with overt small bowel bleeding. TOP100 showed high sensitivity and specificity for lesions with high bleeding potential, aiding in the prioritization of therapeutic procedures. However, its accuracy in detecting ulcers, varices, and P1 lesions seems insufficient.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
Enrique Rodriguez de Santiago, Maria Hernandez-Tejero, Liseth Rivero-Sanchez, Oswaldo Ortiz, Irene Garcia De La Filia-Molina, Jose Ramon Foruny-Olcina, Hector Miguel Marcos Prieto, Maria Garcia-Prada, Almudena Gonzalez-Cotorruelo, Miguel Angel De Jorge Turrion, Andrea Jimenez-Jurado, Carlos Rodriguez-Escaja, Andres Castano-Garcia, Ana Gomez Outomuro, Carlos Ferre-Aracil, Diego De-Frutos-Rosa, Maria Pellise
Summary: In this study of delayed postpolypectomy bleeding (DPPB) patients, it was found that nearly half do not require therapeutic intervention, with colonoscopy often being overused in this population. Independent risk factors for active bleeding were identified, helping to identify those who would benefit most from colonoscopy.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Medicine, General & Internal
Yu Lu, Xiaoying Zhou, Han Chen, Chao Ding, Xinmin Si
Summary: This study retrospectively analyzed the medical records of patients who underwent colonoscopic polypectomy and identified age, sex, hypertension, polyp location, polyp size, and operative modality as independent risk factors for DPPB. A nomogram was developed to predict the incidence of DPPB and can be used as a valuable screening tool for high-risk patients.
FRONTIERS IN MEDICINE
(2022)
Article
Gastroenterology & Hepatology
Kazuhiro Ota, Toshihisa Takeuchi, Daisuke Masuda, Makoto Sanomura, Keishi Kojima, Yoshihiko Nakanishi, Masahiro Hoshimoto, Takeshi Higashino, Akira Imoto, Toshihiko Okada, Sadaharu Nouda, Hirota Miyazaki, Haruhiko Ozaki, Kirie Hashimoto Fukuda, Takanori Kuramoto, Noriaki Sugawara, Toshikazu Onishi, Yoshiaki Takahashi, Hiroyuki Tsujimoto, Yuta Yokoya, Kazumi Kawabata, Shinya Nishida, Akitoshi Hakoda, Taro Iwatsubo, Shimpei Kawaguchi, Yuichi Kojima, Kazuhide Higuchi
Summary: Risk factors for bleeding after PEG include PEG tube insertion using the modified introducer method, low platelet count, antiplatelet therapy, and heparinization; risk factors for early death include low BMI, low serum albumin levels, and comorbidity of active cancer.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Article
Gastroenterology & Hepatology
Wisam Sbeit, Anas Kadah, Amir Shahin, Samer Shbat, Moeen Sbeit, Tawfik Khoury
Summary: This study aimed to assess whether retaining a PEG tube for more than 6 months was associated with a higher rate of PEG-related complications. The results showed that retaining PEG tubes for over 6 months did not lead to increased PEG tube-related complications.
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY
(2021)
Article
Multidisciplinary Sciences
Dongju Kim, Ji Hoon Kim, Dong Ryul Ko, In Kyung Min, Arom Choi, Jin Ho Beom
Summary: Upper gastrointestinal bleeding is a major cause of clinical deterioration globally. This study investigated the diagnostic value of multi-detector computed tomography (MDCT) for suspected cases. The findings suggest that MDCT has limited accuracy in certain aspects when it comes to identifying the status and etiology of UGIB.
Article
Surgery
Magnus Sundbom, Eladio Cabrera, Rickard Nyman, Charlotte Ebeling Barbier, Ulf Johnson, Mikael Ljungdahl
Summary: This study compared percutaneous endoscopic gastrostomy (PEG) with radiologically inserted gastrostomy (RIG) in adults and found that PEG had shorter operative time, lower rate of adverse events, and lower 30-day mortality, making it the recommended primary procedure. However, RIG is also a valid alternative method.
SCANDINAVIAN JOURNAL OF SURGERY
(2023)
Article
Gastroenterology & Hepatology
Claire Gouriou, Guillaume Bouguen, Pierre Lahmek, Agnes Pelaquier, Ramuntxo Arotcarena, Armand Garioud, Stephanie De Montigny-Lenhardt, Arnaud Pauwels, David Zanditenas, Claire Charpignon, Remi Combes, Stephane Nahon, Vincent Quentin
Summary: The use of oral anticoagulants does not affect the outcomes of upper gastrointestinal bleeding, with comorbidities and associated treatment being the most important factors worsening the prognosis of UGIB.
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2021)