[Endoscopy in upper gastrointestinal tract hemorrhage]

Area of Science:

• Gastroenterology
• Endoscopic procedures
• Gastrointestinal bleeding

Context:

• The role of endoscopy in managing upper gastrointestinal hemorrhage has evolved.
• Clinical practice requires updated indications and timing considerations for endoscopic interventions.
• A 20-year retrospective analysis was conducted at Hospital Central Norte de Petroleos Mexicanos, Mexico City.

Purpose:

• To propose updated indications for endoscopy in upper gastrointestinal hemorrhage.
• To highlight critical factors influencing the timing of endoscopic studies.
• To analyze trends in the etiology of upper gastrointestinal hemorrhage over two decades.

Summary:

• The study observed a significant decrease in duodenal ulcer prevalence.
• An increase in gastric ulcers, erosive gastritis, and neoplasms as causes of bleeding was noted.
• These findings necessitate adjustments in endoscopic diagnostic and therapeutic strategies.

Impact:

• Provides evidence-based recommendations for optimizing endoscopy use in gastrointestinal bleeding.
• Highlights shifts in the epidemiology of upper GI hemorrhage, informing clinical decision-making.
• Contributes to improved patient outcomes through timely and appropriate endoscopic intervention.