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Bleeding and starving: fasting and delayed refeeding after upper gastrointestinal bleeding.
Fonseca, Jorge; Meira, Tânia; Nunes, Ana; Santos, Carla Adriana.
Afiliação
  • Fonseca J; Hospital Garcia de Orta, Serviço de Gastrenterologia, Grupo de Estudo de Nutrição Entérica - GENE, Pragal, Almada, Portugal.
  • Meira T; Hospital Garcia de Orta, Serviço de Gastrenterologia, Grupo de Estudo de Nutrição Entérica - GENE, Pragal, Almada, Portugal.
  • Nunes A; Hospital Garcia de Orta, Serviço de Gastrenterologia, Grupo de Estudo de Nutrição Entérica - GENE, Pragal, Almada, Portugal.
  • Santos CA; Hospital Garcia de Orta, Serviço de Gastrenterologia, Grupo de Estudo de Nutrição Entérica - GENE, Pragal, Almada, Portugal.
Arq Gastroenterol ; 51(2): 128-32, 2014.
Article em En | MEDLINE | ID: mdl-25003265
CONTEXT: Early refeeding after nonvariceal upper gastrointestinal bleeding is safe and reduces hospital stay/costs. OBJECTIVES: 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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Endoscopia Gastrointestinal / Métodos de Alimentação / Hemorragia Gastrointestinal Tipo de estudo: Etiology_studies / Guideline / Observational_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Arq Gastroenterol Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Portugal País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Endoscopia Gastrointestinal / Métodos de Alimentação / Hemorragia Gastrointestinal Tipo de estudo: Etiology_studies / Guideline / Observational_studies / Risk_factors_studies Limite: Aged / Female / Humans / Male Idioma: En Revista: Arq Gastroenterol Ano de publicação: 2014 Tipo de documento: Article País de afiliação: Portugal País de publicação: Brasil