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 Printable version |
Outpatient management for patients with upper GI bleeding |
Hépato-Gastro. Volume 19, Number 2, 117-23, Février 2012, Mini-revue
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 Résumé
Texte intégral
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Author(s) : Gilles Lesur, Birane Beye |
Summary : Some patients with acute upper gastrointestinal bleeding non related to portal hypertension can be managed as outpatients. About 10 per cent upper gastrointestinal bleeding with onset of bleeding outside the hospital is potentially concerned. Even if any score had been specifically built for choosing between inpatient or outpatient management risk scores could be useful for outpatient treatment. Outpatient management needs almost all the time endoscopy especially for evaluating the risk of rebleeding. Outpatient management must be restricted to patients without comorbidity and to non severe bleeding, stopped bleeding and bleeding with low risk of rebleeding. Risk of rebleeding must be evaluated on clinical data (concomitant therapy, comorbidity) and endoscopical data mainly the cause of the bleeding and Forrest's classification which must be inferior to II b. Patients have to be informed of what they have to do in case of rebleeding and must be able to return to the specialized center. |
Keywords : Upper GI bleeding, outpatient management, risk scores, rebleeding |
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