Endoscopic necrosectomy (EN) in acute necrotizing pancreatitis has mortality benefits and may ave... more Endoscopic necrosectomy (EN) in acute necrotizing pancreatitis has mortality benefits and may avert the requirement for surgery. However, bleeding is a common adverse event during EN. There is limited knowledge about the risk factors predicting this adverse event and the measures for its management. In this news and views, we discuss recently published studies that evaluated the risk factors for bleeding during EN.
LINKED CONTENTThis article is linked to Rode et al paper. To view this article, visit https://doi... more LINKED CONTENTThis article is linked to Rode et al paper. To view this article, visit https://doi.org/10.1111/apt.16309
BACKGROUND: Traditionally peptic ulcer disease was the most common cause of upper gastrointestina... more BACKGROUND: Traditionally peptic ulcer disease was the most common cause of upper gastrointestinal (UGI) bleed but with the changing epidemiology; other etiologies of UGI bleed are emerging. Many scores have been described for predicting outcomes and the need for intervention in UGI bleed but prospective comparison among them is scarce. OBJECTIVE: This study was planned to determine the etiological pattern of UGI bleed and to compare Glasgow Blatchford score, Pre-Endoscopy Rockall score, AIMS65, and Modified Early Warning Score (MEWS) as predictors of outcome. METHODS: In this prospective cohort study 268 patients of UGI bleed were enrolled and followed up for 8 weeks. Glasgow Blatchford score, Endoscopy Rockall score, AIMS65, and MEWS were calculated for each patient, and the area under the receiver operating characteristic (AUC-ROC) curve for each score was compared. RESULTS: The most common etiology for UGI bleed were gastroesophageal varices 150 (63.55%) followed by peptic ulcer...
Endoscopic necrosectomy (EN) in acute necrotizing pancreatitis has mortality benefits and may ave... more Endoscopic necrosectomy (EN) in acute necrotizing pancreatitis has mortality benefits and may avert the requirement for surgery. However, bleeding is a common adverse event during EN. There is limited knowledge about the risk factors predicting this adverse event and the measures for its management. In this news and views, we discuss recently published studies that evaluated the risk factors for bleeding during EN.
LINKED CONTENTThis article is linked to Rode et al paper. To view this article, visit https://doi... more LINKED CONTENTThis article is linked to Rode et al paper. To view this article, visit https://doi.org/10.1111/apt.16309
BACKGROUND: Traditionally peptic ulcer disease was the most common cause of upper gastrointestina... more BACKGROUND: Traditionally peptic ulcer disease was the most common cause of upper gastrointestinal (UGI) bleed but with the changing epidemiology; other etiologies of UGI bleed are emerging. Many scores have been described for predicting outcomes and the need for intervention in UGI bleed but prospective comparison among them is scarce. OBJECTIVE: This study was planned to determine the etiological pattern of UGI bleed and to compare Glasgow Blatchford score, Pre-Endoscopy Rockall score, AIMS65, and Modified Early Warning Score (MEWS) as predictors of outcome. METHODS: In this prospective cohort study 268 patients of UGI bleed were enrolled and followed up for 8 weeks. Glasgow Blatchford score, Endoscopy Rockall score, AIMS65, and MEWS were calculated for each patient, and the area under the receiver operating characteristic (AUC-ROC) curve for each score was compared. RESULTS: The most common etiology for UGI bleed were gastroesophageal varices 150 (63.55%) followed by peptic ulcer...
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