Gastrointestinal bleeding

There were a number of interesting abstracts presented at the 2012 Digestive Disease Week (DDW; 19 – 22 May, San Diego, California, USA) that covered gastrointestinal bleeding and endoscopy. The following abstracts are those that were found to have particular high clinical importance and the potential for direct impact on the endoscopic care of patients.

• References

• 1 Sung JJ, Luo D, Wu JC et al. Early clinical experience of the safety and effectiveness of Hemospray™ in achieving hemostasis in patients with acute peptic ulcer bleeding. Endoscopy 2011; 43: 291-295
• 2 Morris AJ, Smith LA, Stanley A et al. Hemospray for non-variceal upper gastrointestinal bleeding: results of the SEAL Dataset (survey to evaluate the application of hemospray in the luminal tract). Gastrointest Endosc 2012; 75: AB133
• 3 Gralnek IM, Barkun AN, Bardou M. Current concepts: management of acute bleeding from a peptic ulcer. N Engl J Med 2008; 359: 928-937
• 4 El OualiS, Barkun AN, Wyse J et al. Is routine second look endoscopy effective after endoscopic hemostasis in acute peptic ulcer bleeding? A meta-analysis. Gastrointest Endosc 2012; in Press. DOI: 10.1016/j.gie.2012.04.441.
• 5 Park SJ, Park H, Lee YC et al. Effect of scheduled second look endoscopy on peptic ulcer bleeding: interim analysis of randomized controlled trial. Gastrointest Endosc 2012; 75: AB235
• 6 Sung JJ, Suen R, Ching J et al. Effects of intravenous and oral esomeprazole in prevention of recurrent bleeding from peptic ulcers after endoscopic therapy. Gastroenterology 2012; 142: 192-193
• 7 Seewald S, Sriram PV, Naga M et al. Cyanoacrylate glue in gastric variceal bleeding. Endoscopy 2002; 34: 926-932
• 8 Chantarojanasiri T, Prachayakul V, Aswakul P. Clinical outcomes and complications of histoacryl injection for gastric variceal hemorrhage: what are the determining factors?. Gastrointest Endosc 2012; 75: AB363
• 9 Abu Rajab M, Holm AN, El-Abiad R et al. Endosocpic cyanoacrylate injection for the treatment of gastric varices: experience of a single US center. Gastroenterology 2012; 142: 575
• 10 Uedo N, Ohta T, Ishihara R et al. Endoscopic Doppler US for prediction of delayed bleeding after ESD for early gastric cancer. Gastrointest Endosc 2012; 75: AB142
• 11 Kawai N, Tsumano ERI, Urabe M et al. Synergistic effects of anti-thrombotic drugs on secondary hemorrhage following endoscopic submucosal dissection in patients with early gastric tumors. Gastrointest Endosc 2012; 75: AB231
• 12 Takeuchi T, Umegaki E, Kojima Y et al. Investigation of hemorrhage from ulcer after gastric endoscopic submucosal dissection (ESD) in patients administered antithrombotic agents. Gastrointest Endosc 2012; 75: AB232
• 13 Kishino T, Oyama T. Prevention of bleeding after colon polypectomy in patients with antithrombotic therapy. Gastrointest Endosc 2012; 75: AB169
• 14 Iqbal R, Lee I, Uddin FS et al. The prophylactic placement of hemoclips to prevent delayed post-polypectomy bleeding: an unnecessary practice?. Gastrointest Endosc 2012; 75: AB169
• 15 Strate LL, Naumann CR. The role of colonoscopy and radiological procedures in the management of acute lower intestinal bleeding. Clin Gastroenterol Hepatol 2010; 4: 333-343
• 16 Ron-Tal Fisher O, Gralnek IM, Eisen GM et al. Endoscopic hemostasis is rarely used for severe hematochezia: population-based data from a large consortium of diverse endoscopy practices in the United States. Gastrointest Endosc 2012; 75: AB178
• 17 Koh R, Hirasawa K, Oka H et al. Clinicopathological risk factors for delayed postoperative bleeding after ESD for gastric cancer: comparison with the factors for early bleeding. Gastrointest Endosc 2012; 75: AB358
• 18 Ang D, Teo EK, Seng AGS et al. A comparison of surgery vs. transcatheter angiographic embolization in the treatment of non-variceal upper gastrointestinal bleeding uncontrolled by endoscopy.. Gastroenterology 2012; 142: 504
• 19 Cook M, Pickard L, Ajayi OO et al. A study of mesenteric angiography and embolization in the management of gastrointestinal bleeding. Gastroenterology 2012; 142: 508
• 20 Nguyen NQ, Bryant RV, Kuo P et al. Risk stratification with Glasgow–Blatchford bleeding score for hospitalized patients with upper gastrointestinal bleeding can avoid the needs for urgent endo-therapy. Gastrointest Endosc 2012; 75: AB289
• 21 Park JH, Cheng DW, Lu LW et al. Early endoscopy for upper gastrointestinal hemorrhage is associated with increased intervention and reduced length of stay. Gastroenterology 2012; 142: 508
• 22 Jairath V, Hearnshaw S, Logan RF et al. Acute variceal bleeding in the UK: clinical characteristics, endoscopic therapy and predictors of outcomes. Gastrointest Endosc 2012; 75: AB459
• 23 Ron-Tal Fisher O, Gralnek IM, Eisen GM et al. Endoscopic hemostasis for severe hematochezia in the elderly: population-based data from a large consortium of diverse endoscopy practices in the United States. Gastroenterology 2012; 142: 408
• 24 Jensen DM, Ohning GV, Kovacs TO et al. How to find, diagnose and treat definitive diverticular hemorrhage during urgent colonoscopy in patients with severe hematochezia: results and outcomes of a large prospective study. Gastrointest Endosc 2012; 75: AB179
• 25 Shrode CW, Kennedy JL, Shami VM et al. Colonic lesions remain frequent sources of gastrointestinal bleeds in patients with continuous-flow left ventricular assist devices. Gastrointest Endosc 2012; 75: AB242
• 26 Mekaroonkamol P, Chaput KJ, Chae YK et al. When bleeding recurs, should colonoscopy be repeated?. Gastrointest Endosc 2012; 75: AB404