Özet:

Upper gastrointestinal (UGI) bleeding includes bleeding into the lumen from anywhere between the upper part of the esophagus and the ligament of Treitz. A patient with UGI bleeding may present to the emergency department with hematemesis, melena, or hematochezia. It is the standard approach to perform endoscopy within the first 24 hours in patients with acute UGI bleeding. However, there is no common opinion on the definition of early endoscopy. According to various studies, this definition varies between 2 hours and 24 hours after admission to the emergency department. In our study, 115 patients who applied to the emergency department with UGI bleeding were included. When the patients are divided into 3 groups according to the duration of endoscopy (<8 hours, 8-24 hours, >24 hours), there are differences between the groups regarding endoscopic findings, Forrest classification, need for endoscopic or surgical treatment, need for replacement, recurrent bleeding during follow-up, need for repeat endoscopy and the outcome of the patients. No significant difference was detected. As a result, there is no common opinion on the definition of early endoscopy in UGI bleeding, when it should be performed within the first 24 hours, and its benefits. Prospective randomized studies should also be taken into consideration in determining the benefit and harm ratio of early endoscopy.

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