Timing of Endoscopy for Acute Upper Gastrointestinal Bleeding
It is recommended that patients with acute upper gastrointestinal bleeding undergo endoscopy within 24 hours after gastroenterologic consultation. We randomly assigned patients with high risk of further bleeding or death to either an urgent endoscope or an early endoscope. The primary end point was death from any cause within 30 days after randomization. The 30-day mortality was 8.9% (23 of 258 patients) in the urgent-endoscopy group and 6.6% in the early-endoscope group.
