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Related Experiment Videos

Bleeding and starving: fasting and delayed refeeding after upper gastrointestinal bleeding.

Jorge Fonseca1, Tânia Meira1, Ana Nunes1

  • 1Hospital Garcia de Orta, Serviço de Gastrenterologia, Grupo de Estudo de Nutrição Entérica - GENE, Pragal, Almada, Portugal.

Arquivos De Gastroenterologia
|July 9, 2014
PubMed
Summary

Early refeeding after upper gastrointestinal bleeding is safe and cost-effective. However, this study found delayed feeding in many patients, highlighting a need for improved adherence to early refeeding guidelines for better patient outcomes.

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Area of Science:

  • Gastroenterology
  • Clinical Nutrition
  • Medical Records Analysis

Background:

  • Early refeeding post-nonvariceal upper gastrointestinal bleeding (NVUGIB) is established as safe.
  • Timely refeeding can significantly reduce hospital stay and associated costs.

Purpose of the Study:

  • To gather objective data on the timing and patterns of refeeding in patients with NVUGIB.
  • To identify factors influencing refeeding practices in this patient cohort.

Main Methods:

  • Retrospective analysis of NVUGIB patient records over one year.
  • Inclusion of clinical features, Rockall score, endoscopic findings, and therapy.
  • Detailed tracking of feeding records for the first seven days post-intervention.

Main Results:

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  • A significant portion (37%) of feeding records were missing.
  • Only 16% of patients received nutrition on day one; half were refed on day three or later.
  • Lower-risk patients (Rockall score <5) and those receiving endoscopic therapy were refed sooner.

Conclusions:

  • Incomplete feeding records obscure actual refeeding practices.
  • Refeeding is frequently delayed, particularly in low-risk NVUGIB patients.
  • Adherence to established guidelines for earlier refeeding in NVUGIB patients is crucial.