Gastrointestinal bleeding

GI bleeding remains an important health outcome. A significant number of abstracts were presented during Digestive Disease Week in Orlando, Fla, from May 18 to 21, 2013, noting the global management of patients with GI bleeding and reporting the efficacy of endoscopic interventions for upper or lower GI bleeding, the management after bleeding occurring as a complication of diverse therapeutic interventions in the GI tract. Presented here is a putative summary of the most relevant abstracts.

• References

• 1 de Groot NL, Bosman JH, Siersema PD et al. Prediction scores in gastrointestinal bleeding: a systematic review and quantitative appraisal. Endoscopy 2012; 44: 731-739
• 2 Chandra S, Yadav S, Thapa R et al. Accuracy of AIMS65 score in predicting need-for-intervention and short-term mortality in acute upper gastrointestinal bleeding. Gastroenterology 2013; 144: 507-508
• 3 Theyventhiran RB, Menon J, Singh M et al. A comparison between intravenous infusion and oral proton pump inhibitors (PPI) following pre-emptive intravenous infusion of a PPI in acute peptic ulcer bleed (PUB) post endoscopic hemostasis. Gastroenterology 2013; 144: 80-81
• 4 Okazaki N, Takenaka R, Nunoue T et al. A prospective, randomized trial of soft coagulation versus heater probe thermocoagulation for peptic ulcer bleeding. Gastroenterology 2013; 144: S511
• 5 Holster IL, Kuipers EJ, Van Buuren HR et al. Self-expandable metal stents as definite treatment for esophageal variceal bleeding (abstract). Gastrointest Endosc 2013; 77: AB325
• 6 Gorospe EC, Al-Bawardy B, Saleem A et al. Outcomes and predictors of re-bleeding following 2-octyl-cyanoacrylate injection for acute gastric variceal hemorrhage: results of a 12-year experience (abstract). Gastrointest Endosc 2013; 77: AB181
• 7 Zeng X, Cheng S, Ma L et al. Clinical characteristics and outcomes of gastric varices subtypes in patients treated with endoscopic injection of tissue adhesives (abstract). Gastrointest Endosc 2013; 77: AB219
• 8 Dray X, Repici A, Gonzalez P et al. Radiofrequency ablation treatment of gastric antral vascular ectasia: results from an international collaborative study (abstract). Gastrointest Endosc 2013; 77: AB180
• 9 Parasa S, Balasubramanian G, Chowdhury A et al. Timing of colonoscopy and outcomes among hospitalized patients with lower gastrointestinal bleeding -a population based study (abstract). Gastrointest Endosc 2013; 77: AB161-AB162
• 10 Smith C, Thomson JM, Fraser A et al. Development and initial validation of prognostic scoring systems for lower gastrointestinal bleeding (abstract). Gastrointest Endosc 2013; 77: AB216
• 11 Nakano K, Ishii N, Shimamura Y et al. Long-term outcomes of endoscopic band ligation (EBL) for colonic diverticular hemorrhage (abstract). Gastrointest Endosc 2013; 77: AB162
• 12 Kim JS, Lim C-H, Park JM et al. Long term outcome of capsule endoscopy in patients with obscure gastrointestinal bleeding (abstract). Gastrointest Endosc 2013; 77: AB273-AB274
• 13 Balmadrid BL, Seven G, Kozarek RA et al. Video capsule endoscopy and double balloon enteroscopy in the evaluation of obscure gastrointestinal bleeding (abstract). Gastrointest Endosc 2013; 77: AB277
• 14 Tano S, Horiki N, Tanaka K et al. Predictors of ulcer bleeding after endoscopic submucosal dissection for gastric epithelial neoplasms (abstract). Gastrointest Endosc 2013; 77: AB253
• 15 Park S-E, Jung H-Y, Kim DH et al. Risk factors and correlations of immediate, early delayed and late delayed bleeding associated with endoscopic resection for gastric mucosal neoplasms (abstract). Gastrointest Endosc 2013; 77: AB489
• 16 Park CH, Kim S, Lee HJ et al. A second-look endoscopy after endoscopic submucosal dissection for gastric neoplasm might not reduce delayed postoperative bleeding (abstract). Gastrointest Endosc 2013; 77: AB257-AB258
• 17 Na S, Ahn JY, Choi KD et al. Delayed bleeding rate without routine coagulation of visible vessels in second-look endoscopy after endoscopic resection for gastric neoplasm: a single arm, prospective observational study (abstract). Gastrointest Endosc 2013; 77: AB491
• 18 Fahrtash-Bahin F, Naidoo M, Sonson R et al. Prophylactic endoscopic coagulation for the prevention of bleeding after wide field endoscopic mucosal resection of large sessile colonic polyps-a prospective multicenter randomized control trial (abstract). Gastrointest Endosc 2013; 77: AB156
• 19 Sanomura Y, Oka S, Tanaka S et al. Continued use of low dose aspirin dose not increase the risk of bleeding during or after endoscopic submucosal dissection for early gastric cancer (abstract). Gastrointest Endosc 2013; 77: AB488-AB489
• 20 Furuhata T, Hoteya S, Yamada A et al. Influence of antithrombotic therapy on delayed bleeding in endoscopic submucosal dissection to gastric neoplasia (abstract). Gastrointest Endosc 2013; 77: AB490
• 21 Beppu K, Sakamoto N, Osada T et al. Resuming nonaspirin antiplatelet agents is not a risk factor for bleeding after endoscopic resection of colorectal lesions (abstract). Gastrointest Endosc 2013; 77: AB161
• 22 Horiuchi A, Nakayama Y. Prospective randomized comparison of cold snare polypectomy and conventional polypectomy for small colorectal polyps in patients receiving anticoagulation therapy (abstract). Gastrointest Endosc 2013; 77: AB174
• 23 Jensen DM, Ghassemi KA, Ohning GV et al. Randomized controlled trial (RCT) of hemoclip closure of post-polypectomy induced ulcers (PPIU’s) for prevention of delayed hemorrhage in patients on chronic warfarin: initial results, techniques, & recommendations (abstract). Gastrointest Endosc 2013; 77: AB161