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

Video Transcription

Video Summary

In the video, it is recommended to perform endoscopy within 12 hours of presentation for variceal bleeding, and within 24 hours for non-variceal bleeding. However, globally, it is not possible to have access to therapeutic endoscopists 24/7. The debate continues on whether to perform the procedure as early as possible or wait until the next day. Studies have shown conflicting results, with some showing more band ligation used when endoscopy is done within four hours, and others showing no difference in mortality between urgent and early endoscopy. Delayed endoscopy of more than 50 hours is associated with increased mortality. Resuscitation and stabilizing the patient before performing endoscopy is crucial.

Keywords

endoscopy

variceal bleeding

non-variceal bleeding

therapeutic endoscopists

urgent endoscopy