Timing of endoscopy in patients with cirrhosis and acute variceal bleeding: a single-center retrospective study.

ABSTRACT:

Background

The optimal timing of endoscopy in liver cirrhosis with acute variceal bleeding (AVB) remains controversial in current guidelines and studies.

Methods

Consecutive patients with liver cirrhosis and AVB were screened. The timing of endoscopy was calculated from the last presentation of AVB or the admission to endoscopy. Early endoscopy was defined as the interval < 12 h, < 24 h, or < 48 h. A 1:1 propensity score matching (PSM) analysis was performed. Five-day failure to control bleeding and in-hospital mortality were evaluated.

Results

Overall, 534 patients were included. When the timing of endoscopy was calculated from the last presentation of AVB, PSM analysis demonstrated that the rate of 5-day failure to control bleeding was significantly higher in early

SUBMITTER: Peng M 

PROVIDER: S-EPMC10291747 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature