Search results for "GI bleeding"
Scores to predict outcomes of upper GI bleeding compared
Researchers calculated three pre-endoscopy scores—admission Rockall, AIMS65, and Glasgow Blatchford—and two postendoscopy scores—full Rockall and PNED.
https://gastroenterology.acponline.org/archives/2017/01/27/4.htm
27 Jan 2017
GI safety profile varies among direct oral anticoagulants
Three propensity-matched cohorts of patients with nonvalvular atrial fibrillation who had incident exposure to dabigatran, rivaroxaban, or apixaban were compared.
https://gastroenterology.acponline.org/archives/2017/01/27/2.htm
27 Jan 2017
GI bleeding less common in U.S. veterans on NOACs than those on warfarin
Significant bleeding occurred in 2.5% of the patients on warfarin and 0.6% of the patients on non-vitamin K antagonist oral anticoagulants (NOACs).
https://gastroenterology.acponline.org/archives/2017/03/24/3.htm
24 Mar 2017
Glasgow Blatchford score predicted intervention or death better than 4 other prediction models in upper GI bleeding
Commentary authors writing in ACP Journal Club said the findings add to a growing body of literature that supports the use of the Glasgow Blatchford score for selecting low-risk patients who can safely be discharged from the ED (with a minimal false-negative rate).
https://gastroenterology.acponline.org/archives/2017/04/28/6.htm
28 Apr 2017
Clinical prediction model may help determine management for acute lower GI bleeding
Factors associated with safe discharge in the development and validation cohorts were age, female sex, no previous admission for lower GI bleeding, no blood on digital rectal exam, heart rate, systolic blood pressure, and hemoglobin level.
https://gastroenterology.acponline.org/archives/2017/07/28/3.htm
28 Jul 2017
Spotlight on PPIs
Myocardial infarction risk appeared no greater with proton-pump inhibitors (PPIs) than with histamine H2 receptor antagonists in one recent study, while another study looked at the effect of a trainee-led program on inappropriate PPI infusions in hospitalized patients.
https://gastroenterology.acponline.org/archives/2017/11/28/5.htm
28 Nov 2017
Endoscopic spray device approved to be marketed to treat GI bleeding
The device delivers a mineral blend to sites of upper or lower GI bleeding and is applied during an endoscopic procedure.
https://gastroenterology.acponline.org/archives/2018/05/25/7.htm
25 May 2018
Misoprostol may help treat obscure GI bleeding in patients taking aspirin, NSAIDs
Complete healing of small-bowel ulcers and erosions, as assessed by video-capsule endoscopy, was significantly more common among patients receiving misoprostol than those randomized to placebo, a small British study found.
https://gastroenterology.acponline.org/archives/2018/05/25/3.htm
25 May 2018
H2 blockers prevented clinically important GI bleeding better than PPIs in ICU patients
The retrospective study included 70,093 ICU patients who had at least one risk factor for stress ulcers and therefore had received a proton-pump inhibitor (PPI) or histamine H2-receptor antagonist (H2 blocker) for three or more days.
https://gastroenterology.acponline.org/archives/2018/06/22/9.htm
22 Jun 2018
Anticoagulants compared for associated risk of hospitalization due to upper GI bleeding
Proton-pump inhibitor cotherapy significantly reduced risk among patients on anticoagulation, a cohort study found.
https://gastroenterology.acponline.org/archives/2018/12/28/9.htm
28 Dec 2018