Identifying Low-Risk Patients with Cirrhosis and Acute Gastrointestinal Bleeding That May Not Require Urgent Endoscopy.

ABSTRACT:

Introduction

Urgent endoscopy should be performed in patients with cirrhosis and acute gastrointestinal bleeding (AGIB), but this approach is resource-intensive and associated with procedural risks. Therefore, its necessity has been questioned in low-risk patients. This study aims to identify low-risk patients with cirrhosis and AGIB for whom endoscopy may be unnecessary during hospitalization.

Methods

Patients with cirrhosis and AGIB who presented with melena alone were retrospectively screened from an international multicenter cohort. They were further classified according to the use of endoscopy. Logistic regression analyses were performed to explore the relationship of Child-Pugh score and hepatocellular carcinoma (HCC) with in-hospital death.

Results

Overall, 673

SUBMITTER: Zhang S 

PROVIDER: S-EPMC12858571 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature