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Bleeding and starving: fasting and delayed refeeding after upper gastrointestinal bleeding

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

Arquivos de gastroenterologia, 2014-06, Vol.51 (2), p.128-132 [Periódico revisado por pares]

Brazil: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE

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  • Título:
    Bleeding and starving: fasting and delayed refeeding after upper gastrointestinal bleeding
  • Autor: Fonseca, Jorge ; Meira, Tânia ; Nunes, Ana ; Santos, Carla Adriana
  • Assuntos: Aged ; Endoscopia gastrointestinal ; Endoscopy, Gastrointestinal ; Fasting ; Feeding Methods ; Female ; GASTROENTEROLOGY & HEPATOLOGY ; Gastrointestinal Hemorrhage - etiology ; Gastrointestinal Hemorrhage - surgery ; Hemorragia gastrointestinal ; Humans ; Male ; Nutrição ; Retrospective Studies ; Severity of Illness Index ; Upper Gastrointestinal Tract ; Úlcera
  • É parte de: Arquivos de gastroenterologia, 2014-06, Vol.51 (2), p.128-132
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
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  • Descrição: Early refeeding after nonvariceal upper gastrointestinal bleeding is safe and reduces hospital stay/costs. The aim of this study was obtaining objective data on refeeding after nonvariceal upper gastrointestinal bleeding. 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. 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. 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.
  • Editor: Brazil: Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia e Outras Especialidades - IBEPEGE
  • Idioma: Inglês;Português
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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