angiodysplasia; 2. Meckel’s http://www.selleckchem.com/products/ABT-737.html diverticulum; 3. gastrointestinal hemorrhage; 4. ectopic pancreas; 5. angiography Presenting Author: DONG KU KANG Additional Authors: DAE HWAN KANG, CHEOL WOONG CHOI, SU BUM PARK, JOUNG BOOM HONG, DONG JUN KIM, YOUNG SHIN SHIN, YU YI CHOI, MIN DAE KIM, EUL JO JEONG, HYUNG WOOK KIM Corresponding Author: DONG KU KANG Affiliations: Pusan National University Yangsan Hospital, Pusan National University Yangsan Hospital, Pusan National University Yangsan Hospital, Pusan National

University Yangsan Hospital, Pusan National University Yangsan Hospital, Pusan National University Yangsan Hospital, Pusan National University Yangsan Hospital, Bongseng Memorial Hospital, Jinju Bokum Hospital, Pusan National University Yangsan Hospital Objective: Performing emergency endoscopy is essential to diagnose and treat patients with acute GI bleeding. Early endoscopy (within 24 hours) is the standard treatment option for the patients with acute NVUGIB. According to several studies that analyzing the efficacy of emergency endoscopy, the need for urgent endoscopy (within 8 hours) is a matter of debate. This study compares

the outcomes of urgent endoscopy (within 8 hrs) with early endoscopy (from 8 to 24 hours). Methods: We have enrolled 434 patients who visited ER from January 2009 to December 2013 for hematemesis, melena, or/and hematochzia with blood or altered blood in the nasogastric aspiration. Patients with non-variceal selleck chemicals llc upper GI bleeding who previously underwent upper endoscopy within 24 hours were analyzed and received intravenous proton pump inhibitor (PPI). Based on the timing of the endoscopy, patients were classified into two groups; urgent (<8 hrs) and early (8–24 hrs). We defined positive endoscopic yield as the presence of definite bleeding sites and high-risk stigmata of recent bleeding such as adherent clots, non-bleeding visible vessels

Phospholipase D1 and active bleeding. Results: We identified 224 patients who enrolled the inclusion criteria. There was no significant difference in outcomes between the two groups. The positive endoscopic yield for the urgent and early endoscopy groups were similar at 81/105(77.1%) and 100/119(84%), respectively (p = 0.17). There were no differences of outcomes between the urgent and early endoscopy groups with regard to in-hospital mortality (1.9% vs 2.5%, p = 0.75), need for repeat endoscopy within 72 hrs (10.5% vs 6.8%, p = 0.40), median packed red blood cell requirements (1.78 vs 1.73 unit, p = 0.84), need for hemostatic therapy (31% vs 43%, p = 0.05) and mean length of hospital stay (6.43 ± 5.61 vs 6.25 ± 6.42 days, p = 0.82). Conclusion: According to our retrospective study, there was no difference in the outcomes of performing urgent (<8 hrs) endoscopy compares to early (8–24 hrs) endoscopy. Therefore, we can conclude that the urgent endoscopy is not necessary for patients with acute upper gastrointestinal bleeding. Key Word(s): 1. gastrointestinal bleeding; 2.