Management of patients with nonvariceal upper gastrointestinal hemorrhage before and after the adoption of the Rockall score, in the Italian Gastroenterology Units

Abstract

The Rockall score enables the clinician to formulate a more precise diagnosis and substantially shortens the time in hospital, especially for patients at low-risk of rebleeding and death, so more resources can be dedicated to critically ill patients.

The natural course of Helicobacter pylori infection on endoscopic findings in a population during 17 years of follow-up: the Sørreisa gastrointestinal disorder study

“…The male to female ratios of PU vary, but are in most studies higher than one [23,24]. Our estimated risk of PU associated with H. pylori found by us is lower than reported by others [14,25], which may reflect our study having been carried out in a community-based setting.…”

Why Do Mortality Rates for Nonvariceal Upper Gastrointestinal Bleeding Differ around the World? A Systematic Review of Cohort Studies

“…The remaining 38 articles were reviewed in full for eligibility against prespecified criteria. An additional 20 studies were excluded, leaving 18 (11,12,14,(16)(17)(18)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33) in the final review. Reasons for exclusion are described in Figure 1.…”

Management of Patients with Rebleeding

“…51 Given that this classification system only comprises the endoscopic description, Rockall and colleagues 52 undertook a large prospective audit in 1995 to integrate clinical parameters with endoscopic score to predict disease outcomes, including rebleeding and mortality. [53][54][55] Nevertheless, with changing epidemiology and the advent of endoscopic techniques, larger cohorts have been conducted to evaluate the risk factors. A cohort study involving 1144 patients with peptic ulcer bleeding identified several clinical and endoscopic parameters as independent factors predicting rebleeding.…”