Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.26/8821
Título: Bleeding and starving: fasting and delayed refeeding after upper gastrointestinal bleeding
Autor: Fonseca, Jorge
Meira, Tânia
Nunes, Ana
Santos, Carla Adriana
Palavras-chave: Gastrointestinal hemorrhage
Gastrointestinal endoscopy
Data: Abr-2014
Citação: Arq Gastroenterol. 2014 Apr-Jun;51(2):128-32.
Resumo: "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."
Descrição: 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.
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Peer review: yes
URI: http://hdl.handle.net/10400.26/8821
DOI: 10.1590/S0004-28032014000200011
ISSN: 0004-2803
Versão do Editor: http://ref.scielo.org/6m5hpc OR http://dx.doi.org/10.1590/S0004-28032014000200011
Aparece nas colecções:EM - Artigos Científicos

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