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Outpatient Management of Obscure Gastrointestinal Bleeding: A New Perspective in High-risk Patients

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Specialty Gastroenterology
Date 2024 May 31
PMID 38817662
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Abstract

Mid-gastrointestinal bleeding accounts for approximately 5%-10% of all gastrointestinal bleeding cases, and vascular lesions represent the most frequent cause. The rebleeding rate for these lesions is quite high (about 42%). We hereby recommend that scheduled outpatient management of these patients could reduce the risk of rebleeding episodes.

References
1.
Al-Samkari H, Kasthuri R, Parambil J, Albitar H, Almodallal Y, Vazquez C . An international, multicenter study of intravenous bevacizumab for bleeding in hereditary hemorrhagic telangiectasia: the InHIBIT-Bleed study. Haematologica. 2020; 106(8):2161-2169. PMC: 8327711. DOI: 10.3324/haematol.2020.261859. View

2.
Otani K, Shimada S, Watanabe T, Nadatani Y, Higashimori A, Ominami M . Long-term rebleeding rate and predictive factors of rebleeding after capsule endoscopy in patients with obscure GI bleeding. Gastrointest Endosc. 2022; 96(6):956-969.e3. DOI: 10.1016/j.gie.2022.07.012. View

3.
Baba Y, Kawano S, Kono Y, Inokuchi T, Kanzaki H, Iwamuro M . Clinical Characteristics and Risk Factors for Rebleeding in Patients with Obscure Gastrointestinal Bleeding. Intern Med. 2020; 59(11):1345-1350. PMC: 7332634. DOI: 10.2169/internalmedicine.3628-19. View

4.
Bucci C, Marmo C, Soncini M, Riccioni M, Laursen S, Gralnek I . The interaction of patients' physical status and time to endoscopy on mortality risk in patients with upper gastrointestinal bleeding: A national prospective cohort study. Dig Liver Dis. 2023; 56(6):1095-1100. DOI: 10.1016/j.dld.2023.11.024. View

5.
M El-Halabi M, Green M, Jones C, Salyers Jr W . Under-diagnosing and under-treating iron deficiency in hospitalized patients with gastrointestinal bleeding. World J Gastrointest Pharmacol Ther. 2016; 7(1):139-44. PMC: 4734947. DOI: 10.4292/wjgpt.v7.i1.139. View