Palle Bager1, Jens F Dahlerup. 1. Department of Medicine V, Hepatology and Gastroenterology, Aarhus University Hospital, Denmark. pallbage@rm.dk
Abstract
INTRODUCTION: Acute upper gastrointestinal bleeding is common and anaemia at discharge also occurs frequently. Follow-up studies of patients after discharge are limited. Furthermore, guidelines for follow-up and treatment of post-discharge anaemia have not been published. MATERIAL AND METHODS: We performed a local, retrospective evaluation of patients admitted for acute upper gastrointestinal bleeding. RESULTS: The retrospective evaluation found that more than 80% of the patients admitted for acute upper gastrointestinal bleeding were discharged with apparent anaemia, and oral iron supplementation was recommended for 16% of the discharged anaemic patients. Our study revealed no standardised follow-up protocols for anaemic patients. CONCLUSION: The follow-up practice for patients with anaemia was inconsistent. Based on our research, well-designed studies are needed to determine the most effective post-discharge treatment for patients who are still anaemic at discharge after endoscopic treatment of acute non-variceal upper gastrointestinal bleeding. FUNDING: not relevant. TRIAL REGISTRATION: not relevant.
INTRODUCTION: Acute upper gastrointestinal bleeding is common and anaemia at discharge also occurs frequently. Follow-up studies of patients after discharge are limited. Furthermore, guidelines for follow-up and treatment of post-discharge anaemia have not been published. MATERIAL AND METHODS: We performed a local, retrospective evaluation of patients admitted for acute upper gastrointestinal bleeding. RESULTS: The retrospective evaluation found that more than 80% of the patients admitted for acute upper gastrointestinal bleeding were discharged with apparent anaemia, and oral iron supplementation was recommended for 16% of the discharged anaemic patients. Our study revealed no standardised follow-up protocols for anaemic patients. CONCLUSION: The follow-up practice for patients with anaemia was inconsistent. Based on our research, well-designed studies are needed to determine the most effective post-discharge treatment for patients who are still anaemic at discharge after endoscopic treatment of acute non-variceal upper gastrointestinal bleeding. FUNDING: not relevant. TRIAL REGISTRATION: not relevant.
Authors: Jürgen Stein; Susan Connor; Garth Virgin; David Eng Hui Ong; Lisandro Pereyra Journal: World J Gastroenterol Date: 2016-09-21 Impact factor: 5.742
Authors: Kyle J Fortinsky; Myriam Martel; Roshan Razik; Gillian Spiegle; Zane R Gallinger; Samir C Grover; Katerina Pavenski; Adam V Weizman; Lukasz Kwapisz; Sangeeta Mehta; Sarah Gray; Alan N Barkun Journal: Can J Gastroenterol Hepatol Date: 2016-06-28