Publication
Bleeding and starving: fasting and delayed refeeding after upper gastrointestinal bleeding
| dc.contributor.author | Fonseca, Jorge | |
| dc.contributor.author | Meira, Tânia | |
| dc.contributor.author | Nunes, Ana | |
| dc.contributor.author | Santos, Carla Adriana | |
| dc.date.accessioned | 2015-06-01T10:30:13Z | |
| dc.date.available | 2015-06-01T10:30:13Z | |
| dc.date.issued | 2014-04 | |
| dc.description | This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. | por |
| dc.description | See more: | por |
| dc.description | http://creativecommons.org/licenses/by-nc/3.0//deed.en | por |
| dc.description.abstract | "Context - Early refeeding after nonvariceal upper gastrointestinal bleeding is safe and reduces hospital stay/costs. Objective - 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." | por |
| dc.identifier.citation | Arq Gastroenterol. 2014 Apr-Jun;51(2):128-32. | por |
| dc.identifier.doi | 10.1590/S0004-28032014000200011 | |
| dc.identifier.issn | 0004-2803 | |
| dc.identifier.issn | 1678-4219 | |
| dc.identifier.uri | http://hdl.handle.net/10400.26/8821 | |
| dc.language.iso | eng | por |
| dc.peerreviewed | yes | por |
| dc.publisher | IBEPEGE, CBCD e SBMD, FBG, SBH, SOBED | por |
| dc.relation.publisherversion | http://ref.scielo.org/6m5hpc OR http://dx.doi.org/10.1590/S0004-28032014000200011 | por |
| dc.subject | Gastrointestinal hemorrhage | por |
| dc.subject | Nutrition | por |
| dc.subject | Ulcer | por |
| dc.subject | Gastrointestinal endoscopy | por |
| dc.title | Bleeding and starving: fasting and delayed refeeding after upper gastrointestinal bleeding | por |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 132 | por |
| oaire.citation.startPage | 128 | por |
| oaire.citation.title | Arquivos de Gastroenterologia | por |
| oaire.citation.volume | 51(2) | por |
| rcaap.rights | openAccess | por |
| rcaap.type | article | por |