ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Upper GI Bleeding When to Do Endoscopy

Video Transcription

Video Summary

The video discusses the timing of endoscopy for variceal and non-variceal bleeding. For variceal bleeding, it is recommended to perform endoscopy within 12 hours of patient presentation. For non-variceal bleeding, endoscopy should be done within 24 hours after hemodynamic stabilization, but if the patient remains unstable, it should be done urgently within 12 hours. However, it is not possible to have therapeutic endoscopists available 24/7 globally due to lack of experience and resources. The debate continues whether to perform early endoscopy or wait for 24 hours. Various studies have shown conflicting results, but resuscitation and stabilizing the patient before endoscopy are crucial.

Keywords

endoscopy timing

variceal bleeding

non-variceal bleeding

hemodynamic stabilization

therapeutic endoscopists