1. Bleeding and starving: fasting and delayed refeeding after upper gastrointestinal bleeding.
- Author
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Fonseca J, Meira T, Nunes A, and Santos CA
- Subjects
- Aged, Fasting, Female, Gastrointestinal Hemorrhage etiology, Humans, Male, Retrospective Studies, Severity of Illness Index, Upper Gastrointestinal Tract, Endoscopy, Gastrointestinal, Feeding Methods, Gastrointestinal Hemorrhage surgery
- Abstract
Context: Early refeeding after nonvariceal upper gastrointestinal bleeding is safe and reduces hospital stay/costs., Objectives: The aim of this study was obtaining objective data on refeeding after nonvariceal upper gastrointestinal bleeding., Methods: From 1 year span records of nonvariceal upper gastrointestinal bleeding patients that underwent urgent endoscopy: clinical features; rockall score; endoscopic data, including severity of lesions and therapy; feeding related records of seven days: liquid diet prescription, first liquid intake, soft/solid diet prescription, first soft/solid intake., Results: From 133 patients (84 men) Rockall classification was possible in 126: 76 score ≥5, 50 score <5. One persistent bleeding, eight rebled, two underwent surgery, 13 died. Ulcer was the major bleeding cause, 63 patients underwent endoscopic therapy. There was 142/532 possible refeeding records, no record 37% patients. Only 16% were fed during the first day and half were only fed on third day or later. Rockall <5 patients started oral diet sooner than Rockall ≥5. Patients that underwent endoscopic therapy were refed earlier than those without endotherapy., Conclusions: Most feeding records are missing. Data reveals delayed refeeding, especially in patients with low-risk lesions who should have been fed immediately. Nonvariceal upper gastrointestinal bleeding patients must be refed earlier, according to guidelines.
- Published
- 2014
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