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Limited value of early endoscopy in the management of acute upper gastrointestinal bleeding. Prospective controlled trial.

Author: GrahamD Y

Clinical TrialA clinical trial is a planned study conducted on humans to evaluate the efficacy and safety of pharmaceuticals, medical devices, and treatment methods. It aims to explore the possibilities of new treatments and improve the health of patients.
Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.

Overview

The study found that immediate disclosure of endoscopy results in patients with acute upper gastrointestinal hemorrhage did not significantly affect patient management or outcome.
Paper Details　
Original Abstract of the Article :
In an 11 month period, 95 patients with acute upper gastrointestinal hemorrhage underwent early fiberoptic endoscopy. Patients were randomized into two groups before endoscopy depending on whether the results of the procedure were revealed immediately or after 4 days. No attempt was made to influenc...See full text at original site
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引用元：
https://doi.org/10.1016/0002-9610(80)90023-9

データ提供：米国国立医学図書館（NLM）

Early Endoscopy: Is It Always the Answer?

In the world of [Gastroenterology], we often encounter patients with [acute upper gastrointestinal hemorrhage]. A common question is: When should we perform [early fiberoptic endoscopy]? This research delves into this very question, exploring the effectiveness of early endoscopy in managing acute upper gastrointestinal bleeding. This research used [a prospective controlled trial] to examine the impact of early endoscopy on patient management.

The researchers divided patients into two groups: those who received the results of their endoscopy immediately and those who received the results after four days. They found that there was no significant difference in the management or outcomes between the two groups, with only 12% of patients experiencing significant changes in their treatment plan after learning the results of their endoscopy.

The Limits of Endoscopy

This research suggests that [the natural history of acute upper gastrointestinal hemorrhage], like a river finding its course, can often resolve on its own. This means that, in many cases, early endoscopy may not significantly alter the course of treatment.

The Importance of Understanding the Natural Course of Illness

This research highlights the importance of understanding the natural course of illness and considering the potential benefits and limitations of interventions like early endoscopy. It reminds us that, like a wise camel navigating a vast desert, we should always be cautious about assuming that a particular intervention will always be the best course of action.

Dr. Camel's Conclusion

This study demonstrates the importance of considering the natural course of illness and the potential benefits and limitations of interventions, like early endoscopy. It reminds us that not every situation requires a direct intervention and that sometimes, the best course of action is to observe and let nature take its course.

Date :
  1. Date Completed 1980-10-27
  2. Date Revised 2019-06-27
Further Info :

Pubmed ID

6996506

DOI: Digital Object Identifier

10.1016/0002-9610(80)90023-9

Related Literature

Article Analysis
・Effective treatment of gastrointestinal bleeding
SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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