Video Tip: Upper GI Bleeding: When to Do Endoscopy | March 2021-Upper GI Bleeding When to Do Endoscopy

Video Transcription

Video Summary

In this video, the speaker discusses the recommended timing for endoscopy in cases of variceal and non-variceal bleeding. They state that for variceal bleeding, it is recommended to do an endoscopy within 12 hours of the patient's presentation, while for non-variceal bleeding, it should be done within 24 hours or as urgent as 12 hours if the patient remains unstable. The speaker acknowledges that globally, it is not possible to have therapeutic endoscopists available 24/7, leading to a debate about the timing of the procedure. Various studies are mentioned, some showing that earlier endoscopy may lead to more interventions due to limited visibility, while others find no difference in mortality between different timing groups. The speaker emphasizes the importance of resuscitating and stabilizing the patient before performing the endoscopy. No specific credits were mentioned in the video.

Keywords

endoscopy timing

variceal bleeding

non-variceal bleeding

therapeutic endoscopists

mortality difference