BLEEDING AND STARVING: fasting and delayed refeeding after upper gastrointestinal bleeding

Fonseca, Jorge; Meira, Tânia; Nunes, Ana Bela; Santos, Carla Adriana

doi:10.1590/s0004-28032014000200011

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…O paciente deve ficar em observação e monitoração automatizada da pressão arterial e eletrocardiográfica, bem como oximetria de pulso 2 . Nesses casos, pode-se realizar acesso venoso de grosso calibre, com reposição volêmica com fluidos (cristaloides) ou suporte de hemoconcentrados, de acordo com o grau de instabilidade 2,6,11,12 .…”

Section: Métodos Terapêuticos De Escolhaunclassified

“…Diagnóstico e tratamento da hemorragia digestiva alta vasopressina devem ser utilizadas na HDA varicosa nos pacientes hemodinamicamente instáveis ou visando-se reduzir o fluxo sanguíneo varicoso, pela constrição das veias mesentéricas ou das esplênicas 2,8,9,11 As drogas antifibrinolíticas, como o ácido tranexânico, possuem ação na redução do sangramento local, melhorando os índices de mortalidade 13 .…”

Section: Medicinaunclassified

See 1 more Smart Citation

Hemorragia digestiva alta diagnóstico e tratamento

Martins¹,

Silva²,

Andrade³

et al. 2022

PRMJ

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Section: Métodos Terapêuticos De Escolhaunclassified

Section: Medicinaunclassified

Hemorragia digestiva alta diagnóstico e tratamento

Martins¹,

Silva²,

Andrade³

et al. 2022

PRMJ

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When Can we Feed after a Gastrointestinal Bleed?

Busch

Collier

Kaspar

2022

Curr Gastroenterol Rep

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Early nutrition is safe and does not increase complications after upper gastrointestinal bleeding—a systematic review and meta-analysis of randomized controlled trials

Obeidat,

Teutsch,

Floria

et al. 2024

Sci Rep

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Despite a lack of evidence, patients are often not fed for 48–96 h after upper gastrointestinal bleeding (UGIB); however, many trials have demonstrated the benefits of early nutrition (EN). We conducted a meta-analysis of randomized controlled trials (RTCs) to evaluate the outcomes of EN compared to delayed nutrition (DN) after UGIB. The protocol was registered on PROSPERO (CRD42022372306). PubMed, Embase, CENTRAL, Scopus, and Web of Science were searched on the 27th of April 2024 to identify eligible RCTs. The primary outcomes were early (within 7 days) and late (within 30–42 days) mortality and rebleeding. Pooled risk ratios (RR), mean differences (MD), and corresponding 95% confidence intervals (CI) were calculated using a random-effects model. A total of 10 trials with 1051 patients were included in the analysis. Early mortality was not significantly different between the two groups (RR 1.20, CI 0.85–1.71, I2 = 0%), whereas late mortality was reduced to a clinically relevant extent in the EN group (RR 0.61, CI 0.35–1.06, I2 = 0%). When comparing the two groups, we found no significant difference in terms of early and late rebleeding (RR 1.04, CI 0.66–1.63, I2 = 0% and RR 1.16, CI 0.63–2.13, I2 = 0%, respectively). Our analysis also showed that the length of hospital stay was reduced in the EN group compared to the DN group (MD −1.22 days, CI: −2.43 to −0.01, I2 = 94%). In conclusion, compared with DN, EN (within 24 h) appears to be a safe intervention and could reduce the length of hospital stay without increasing the risk of complications after UGIB.

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BLEEDING AND STARVING: fasting and delayed refeeding after upper gastrointestinal bleeding

Abstract: -Context -Early refeeding after nonvariceal upper gastrointestinal bleeding is safe and reduces hospital stay/costs. ObjectiveThe aim of this study was obtaining objective data on refeeding after nonvariceal upper gastrointestinal bleeding.

Cited by 3 publications

References 20 publications

Hemorragia digestiva alta diagnóstico e tratamento

Hemorragia digestiva alta diagnóstico e tratamento

When Can we Feed after a Gastrointestinal Bleed?

Early nutrition is safe and does not increase complications after upper gastrointestinal bleeding—a systematic review and meta-analysis of randomized controlled trials

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