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Volume 7, Issue 3, Pages 257-258 (March 2009)


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Do Predictors of Mortality in Upper Gastrointestinal Bleeding Include A Weekend Time of Admission?

Alan N. Barkun, MD, CM, MSC

published online 22 December 2008.

There have been marked evolutions in the management of patients with nonvariceal upper gastrointestinal bleeding (NVUGIB), and more specifically peptic ulcer bleeding, over the past 5 to 7 years that include the introduction of efficacious therapies such as endoscopic hemostasis with a single modality (preferably not just the sole injection of epinephrine), or a combination of methods, followed by high-dose intravenous proton pump inhibition.1 Regardless, early risk stratification remains a cornerstone of appropriate management and the explicit use of validated scoring schemes is encouraged.

Division of Gastroenterology, McGill University and the McGill University Health Centre, Montréal, Québec, Canada

 Conflicts of interest The author discloses the following: Dr Barkun is a recipient of the Douglas G. Kinnear Chair in Gastroenterology at McGill University, and is a consultant for AstraZeneca Inc. and the Olympus Corporation.

PII: S1542-3565(08)01247-0

doi:10.1016/j.cgh.2008.12.013


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